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Idaho State University
Clinic Pharmacy in Pocatello, Idaho
NPI 1730351081

Idaho State University is a Clinic Pharmacy based in Pocatello, ID and is specialized in Clinic Pharmacy. Idaho State University practices in Pocatello, ID. The NPI Number for Idaho State University is 1730351081 and holds a License No. 349CP (Idaho).

The current practice location address for Idaho State University is 990 South 8Th, Pocatello, ID and can be reached out via phone at 208-282-3407.

Location: 990 South 8Th, Pocatello, ID, 83209-0002
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1730351081
Provider Name
Idaho State University
Credential
Provider Entity Type
Organization
Address
990 South 8Th, Pocatello, ID, 83209-0002
Phone Number
208-282-3407
Fax Number
Provider Enumeration Date
03/27/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1307974 01 NCPDP PROVIDER IDENTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
990 South 8Th
City
Pocatello
State
Idaho
Zip
83209
Phone Number
208-282-3407
Fax Number
person
Provider Business Mailing Address Details
Address
990 South 8Th
City
Pocatello
State
Idaho
Zip
83209
Phone Number
208-282-3407
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Clinic Pharmacy
Taxonomy
3336C0002X
License No.
349CP (Idaho)
Definition
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
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