NPI 1164035689
Allergy Butler, LLC
Practice location
- Address
- 1611 12th Ave Rd STE a, Nampa, ID 83686-6182
- Phone
- (844) 426-9843
- Mailing address
- 10701 S Ozarks Dr, South Jordan, UT 84009-5693
Authorised official
- Name
- Edward Loomis
- Title
- Ceo
- Phone
- (844) 426-9843
Registered specialties
Clinic Pharmacy
Primary
Registry record
- NPI
- 1164035689
- Entity type
- Organization
- NPI issued
- 25 Aug 2020
- Record last updated
- 25 Aug 2020
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.