Tnt Apothecary LLC

NPI #1518479773 in Hagerman, Idaho

Provider Information

NPI Number
1518479773
Entity Type
Organization
Organization Name
Tnt Apothecary LLC
Subpart
Yes (part of a larger organization)
Parent Organization
TNT APOTHECARY, LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
Oct 27, 2017
Last Updated
Jun 16, 2018

Practice Location

Address
631 FROGS LNDG
State
Idaho
ZIP Code
83332-5034
Phone
(208) 536-5761

Authorized Official

Name
THOMAS GILL WADSWORTH
Title
OWNER
Phone
(907) 786-6211

Specialties & Taxonomy Codes

Specialty
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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