Vic's Family Pharmacy INC

NPI #1669460093 in Kuna, Idaho

Provider Information

NPI Number: 1669460093
Entity Type: Organization
Organization Name: Vic's Family Pharmacy INC
Primary Specialty: Pharmacy
Enumeration Date: Oct 10, 2005
Last Updated: Oct 29, 2009

Practice Location

Address: 173 E 4TH ST
City: Kuna
State: Idaho
ZIP Code: 83634-2103
Phone: (208) 922-4400

Authorized Official

Name: MR. TRAVIS L WALTHALL, RPH
Title: PHARMACIST IN CHARGE
Phone: (208) 922-4400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy	333600000X	Primary

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