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Glenwood Pharmacy Inc — NPI 1003827502, Orofino, ID | NPI Central

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NPI 1003827502

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Glenwood Pharmacy Inc

NPI 1003827502 · Pharmacy · Orofino, ID

Provider details

NPI number: 1003827502
Entity type: Organization
Primary specialty: PharmacySuppliers
Organization subpart: No
Authorized official: Patricia Peterson, President(208) 476-5727
License: 19201RP (ID)

Specialties & taxonomies

PharmacyPrimary333600000XLicense 19201RP (ID)
Suppliers

Practice location

13040 Highway 12

Orofino, ID 83544-9330

Phone: (208) 476-0329

Fax: (208) 476-0349

Approximate (ZIP-level) locationGet directions

More ID providers

Mailing address

1105 Michigan Ave

Orofino, ID 83544-9005

Other names (DBA / former)

Doing business as: Riverside Pharmacy

Registry dates

Enumerated: 2006-08-10
Last updated: 2013-08-15

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.