NPI 1003827502
Glenwood Pharmacy INC
Practice location
- Address
- 13040 Highway 12, Orofino, ID 83544-9330
- Phone
- (208) 476-0329
- Fax
- (208) 476-0349
- Mailing address
- 1105 Michigan Ave, Orofino, ID 83544-9005
Authorised official
- Name
- Patricia Peterson
- Title
- President
- Phone
- (208) 476-5727
Registered specialties
Pharmacy
Primary
Registry record
- NPI
- 1003827502
- Entity type
- Organization
- NPI issued
- 10 Aug 2006
- Record last updated
- 15 Aug 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.