Organization
MEDCART SPECIALTY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY GIANNAKOPOULOS (ENROLLMENTS MANAGER)
(208) 395-3954
Entity
Organization
Contact information
Practice address
250 E PARKCENTER BLVD, BOISE, ID 83706-3940
(208) 395-6200
Mailing address
250 E PARKCENTER BLVD, BOISE, ID 83706-3940
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
08/10/2017
Last updated
03/04/2020
About Stedi
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