Organization
PHARMA DONNA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY SWINK RPH (PHARM D)
(208) 450-9085
Entity
Organization
Contact information
Practice address
201 N. WASHINGTON AVE, KETCHUM, ID 83340
(208) 726-2679
(208) 726-1179
Mailing address
PO BOX 6464, KETCHUM, ID 83340-6464
(208) 726-2679
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
16297RP
ID
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740584051
—
ID
01
—
2127936
PK
—
Enumeration date
12/29/2010
Last updated
05/29/2018
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