MEDICARE: HUNTCO INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	333600000X	Pharmacy	45401RP	ID

General Provider Information

NPI Number	:	1386166023
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HUNTCO INC.

Provider Business Mailing Address
First Line	:	23 N BRIDGE ST
Second Line	:
City	:	SAINT ANTHONY
State	:	ID
Zip	:	83445-2110
Country	:	US
Telephone Number	:	208-624-3202
Fax Number	:

Provider Business Practice Location Address
First Line	:	23 N BRIDGE ST
Second Line	:
City	:	SAINT ANTHONY
State	:	ID
Zip	:	83445-2110
Country	:	US
Telephone Number	:	208-624-3202
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	WILLIAM J. HUNTER
Credential	:
Telephone Number	:	208-624-3202

Provider Enumeration Date	:	07/14/2017
Last Update Date	:	07/21/2022

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Directions to “HUNTCO INC. ” Practice Location

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