Organization
B AND B DRUG INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NEIL TETSUO KOMODA RPH (PRESIDENT)
(208) 523-2277
Entity
Organization
Contact information
Practice address
2425 CHANNING WAY, IDAHO FALLS, ID 83404-8059
(208) 523-2277
(208) 552-1246
Mailing address
2425 CHANNING WAY, IDAHO FALLS, ID 83404-8059
(208) 523-2277
(208) 552-1246
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
421CP
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002304900
—
ID
Enumeration date
02/07/2007
Last updated
07/11/2008
Update your record
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