OLSON'S MODERN DRUG CO.
762 Washington St
Montpelier, ID 83254
208-847-0536
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 3336C0003X | Suppliers - Pharmacy - Community/Retail Pharmacy | ID | 476CP |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
002683500 | ID | MEDICAID |