Organization
SNAKE RIVER PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN LUNT PHARMD (PHARMACIST)
(208) 240-3733
Entity
Organization
Contact information
Practice address
4750 YELLOWSTONE AVE, CHUBBUCK, ID 83202-2336
(208) 240-3733
Mailing address
4750 YELLOWSTONE AVE, CHUBBUCK, ID 83202-2336
(208) 240-3733
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
44698RP
ID
Other
Enumeration date
05/22/2017
Last updated
07/21/2022
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