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Contact Information

KOHAL PHARMACY INC
504 N DIVISION AVE
PINEHURST, ID83850
 Phone: 208-682-3920
 Fax: 208-682-3939
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for KOHAL PHARMACY INC

NPI Number 1053453910
LBN Legal business name KOHAL PHARMACY INC
Authorized official TONY WRIGHT - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/13/2007
Last updated 11/26/2024 - More than a year ago
Identifiers
ID License # 857CP
ID Medicaid 0025278
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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