Vic'S Family Pharmacy Inc

LBN: Vic'S Family Pharmacy Inc
Vic'S Family Pharmacy Inc is an health care organization with primary practice located at 173 E 4Th St , Kuna ID 83634-2103. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. Vic'S Family Pharmacy Inc can be contacted via phone (208) 922-4400, or through Walthall, Travis L via phone (208) 922-4400.

Contact Information

Primary practice address
173 E 4Th St Kuna ID 83634-2103
Phone: (208) 922-4400
Fax: (208) 922-4499
Website:
Map and Directions
Authorized official contact:
Name: Walthall, Travis L RPH
Phone: (208) 922-4400

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 1271CP Idaho

Profile Details

NPI number 1669460093
LBN Legal business name Vic'S Family Pharmacy Inc
DBA Doing business as
Authorized official Walthall, Travis L RPH
Entity Organization
Organization subpart 1 No
Enumeration date Oct 10th, 2005
Last updated Oct 29th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1669460093 NPPES
Idaho MEDICAID 8044295400
Idaho Other 1271CP
Idaho Other 1306251

Popular Providers