institution
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. You can also correspond with Idaho State University through the mailing address at 921 S 8TH AVE STOP 8311, POCATELLO, ID - 83209-0002 (mailing address contact number: 208-282-3407).

Location: 990 South 8Th, Pocatello, ID, 83209-0002
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
State
Zip
83209
Phone Number
208-282-3407
Fax Number
person
Provider Business Mailing Address Details
Address
990 South 8Th
City
State
Zip
83209
Phone Number
208-282-3407
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Clinic Pharmacy
Taxonomy
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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