Organization
WELLNESS PEPTIDES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG SMITH PHARM D (PHARMACY MANAGER)
(208) 760-0557
Entity
Organization
Contact information
Practice address
324 BOISE ST, MIDDLETON, ID 83644-5576
(208) 760-0557
(986) 200-4697
Mailing address
324 BOISE ST, MIDDLETON, ID 83644-5576
(208) 760-0557
(986) 200-4697
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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