Glenwood Pharmacy INC

NPI #1003827502 in Orofino, Idaho

Provider Information

NPI Number
1003827502
Entity Type
Organization
Organization Name
Glenwood Pharmacy INC
Primary Specialty
Pharmacy
Enumeration Date
Aug 10, 2006
Last Updated
Aug 15, 2013

Practice Location

Address
13040 HIGHWAY 12
State
Idaho
ZIP Code
83544-9330
Phone
(208) 476-0329

Authorized Official

Name
PATRICIA PETERSON
Title
PRESIDENT
Phone
(208) 476-5727

Specialties & Taxonomy Codes

Specialty
Pharmacy

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