Organization
Z INC
Active
Other names
PAULS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
PAULINO ZATICA (PRESIDENT)
(208) 337-3919
Entity
Organization
Contact information
Practice address
700 E AVALON ST, KUNA, ID 83634-2140
(208) 922-9836
(209) 922-3529
Mailing address
700 E AVALON ST, KUNA, ID 83634-2140
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1272CP
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306237
OTHER ID NUMBER
—
05
—
8042776000
—
ID
Enumeration date
01/09/2007
Last updated
08/31/2007
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