Organization
HUNTERS INC
Active
Other names
CORNER DRUG
Organization subpart
No
Provider details
NPI number
Authorized official
AARON MYLER (MANAGER)
(208) 354-2334
Entity
Organization
Contact information
Practice address
10 S MAIN ST, DRIGGS, ID 83422-9700
(208) 354-2334
(208) 354-3646
Mailing address
PO BOX 758, DRIGGS, ID 83422-0758
(208) 354-3646
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
108RP
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942315973
—
ID
01
—
2019759
PK
—
Enumeration date
08/20/2006
Last updated
02/22/2022
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