Hells Canyon Health and Wellness Pharmacy
NPI #1619507761 in Lewiston, Idaho
Provider Information
- NPI Number
- 1619507761
- Entity Type
- Organization
- Organization Name
- Hells Canyon Health and Wellness Pharmacy
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- HELLS CANYON HEALTH AND WELLNESS PHARMACY
- Primary Specialty
- Pharmacy - Long Term Care Pharmacy
- Enumeration Date
- Jan 16, 2020
- Last Updated
- Jan 16, 2020
Practice Location
Authorized Official
- Name
- CHARLES ANDREW POTTENGER
- Title
- OWNER
- Phone
- (208) 743-5515
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
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