Organization
RED CROSS PHARMACY INC
Active
Other names
RED CROSS PHARMACY INC
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL EVERETT B PHARM (PHARMACIST IN CHARGE)
(208) 289-5941
Entity
Organization
Contact information
Practice address
509 E MAIN ST, KENDRICK, ID 83537-0131
(208) 289-5941
(208) 289-5942
Mailing address
PO BOX 131, KENDRICK, ID 83537-0131
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
865RP
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002709100
—
ID
01
—
2020091
PK
—
Enumeration date
11/09/2005
Last updated
12/30/2015
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