DJ GARDEN VALLEY PHARMACY
Specialty Pharmacy
Garden Valley, Idaho
Provider NPI: 1457874612
Organization Information:Organization Name: DJ GARDEN VALLEY PHARMACY
Practice Location:
284 VILLAGE CIR STE 100 GARDEN VALLEY, ID 83622 US
Tel: 208-901-8006 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Practice Location:
284 VILLAGE CIR STE 100 GARDEN VALLEY, ID 83622 US
Tel: 208-901-8006 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 333600000X | Suppliers Pharmacy | ||
N | 3336S0011X | Suppliers Pharmacy | ||
Y | 3336C0003X | Suppliers Pharmacy |