Organization
SAWTOOTH COMPOUNDING PHARMACY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES W EDDINS CPHT (OWNER)
(208) 506-2673
Entity
Organization
Contact information
Practice address
90 S COLE RD, BOISE, ID 83709-0930
(208) 506-2673
(208) 506-2672
Mailing address
90 S COLE RD, BOISE, ID 83709-0930
(208) 506-2673
(208) 506-2672
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2405
SAWTOOTH
ID
Enumeration date
11/19/2019
Last updated
05/07/2020
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