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Glenwood Pharmacy, Inc — NPI 1386640001, Orofino, ID | NPI Central

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NPI 1386640001

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Glenwood Pharmacy, Inc

NPI 1386640001 · Pharmacy · Orofino, ID

Provider details

NPI number: 1386640001
Entity type: Organization
Primary specialty: PharmacySuppliers
Organization subpart: No
Authorized official: Patricia Peterson, President(208) 476-5727
License: 2006CP (ID)

Specialties & taxonomies

PharmacyPrimary333600000XLicense 2006CP (ID)
Suppliers

Practice location

1105 Michigan Ave

Orofino, ID 83544-9005

Phone: (208) 476-5727

Fax: (208) 476-4045

Approximate (ZIP-level) locationGet directions

More ID providers

Mailing address

1105 Michigan Ave

Orofino, ID 83544-9005

Registry dates

Enumerated: 2005-06-27
Last updated: 2013-07-15

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