Organization
VICS FAMILY PHARMACY INC
Active
Other names
Vic's Family Pharmacy Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR ALLEN (OWNER)
(208) 465-7000
Entity
Organization
Contact information
Practice address
118 S MIDLAND BLVD, NAMPA, ID 83686-2601
(208) 442-1000
(208) 442-1091
Mailing address
119 S VALLEY DR, SUITE A # 120, NAMPA, ID 83686-2974
(208) 465-7000
(208) 465-7091
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
16667RP
ID
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2130713
PK
—
Enumeration date
07/18/2011
Last updated
02/13/2019
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