Kohal Pharmacy And Medical Supply

NPI 1053453910 - Pharmacy - 333600000X

NPI Details
NPI 1053453910
Enumeration Date 02/13/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ALAN DOUGLAS ALAN
Position OWNER AND PRESIDENT
Phone (208) 682-3920
Fax (208) 682-3939
Practice Location
504 N DIVISION AVE
PINEHURST ID, 83850, US
Phone (208) 682-3920
Fax (208) 682-3939
Business Location
PO BOX 400
PINEHURST ID, 83850-0400, US
Phone (208) 682-3920
Fax (208) 682-3939
Toxanomy
Taxonomy Code 333600000X
License State Idaho
License Number 857CP
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According to our database, Kohal Pharmacy And Medical Supply NPI is 1053453910, taxonomy code is 333600000X and license number is 857CP, license state is located at Idaho. Kohal Pharmacy And Medical Supply physically located at 504 N Division Ave, Pinehurst ID, 83850. NPI Number 1033115704 has the healthcare provider type.

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1053453910 NPI number is provided on an as is basis without warranty of any kind. 1053453910 is maintained by the National Plan & Provider Enumeration System. The contents of Kohal Pharmacy And Medical Supply are for informational purposes only.