Organization
NORTHWEST PHARMACY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM ORA EDWARDS III (OWNER)
(208) 875-1212
Entity
Organization
Contact information
Practice address
210 6TH ST, POTLATCH, ID 83855-9700
(208) 875-1212
Mailing address
PO BOX 657, POTLATCH, ID 83855-0657
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
814RP
—
ID
Enumeration date
02/27/2019
Last updated
01/06/2025
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