Interlake Pharmacy INC
NPI #1467425249 in Coeur D Alene, Idaho
Provider Information
- NPI Number
- 1467425249
- Entity Type
- Organization
- Organization Name
- Interlake Pharmacy INC
- Primary Specialty
- Pharmacist
- Enumeration Date
- Feb 10, 2006
- Last Updated
- Sep 14, 2015
Practice Location
- Address
- 700 W IRONWOOD DR
- Address 2
- SUITE 159
- City
- Coeur D Alene
- State
- Idaho
- ZIP Code
- 83814-2656
- Phone
- (208) 664-6664
Authorized Official
- Name
- MR. TIM BROWN, RPH
- Title
- PHARMACIST/OWNER
- Phone
- (208) 664-6664
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
| Pharmacist |
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