institution
Minidoka Memorial Hospital
Pharmacy in Rupert, Idaho
NPI 1942364070

Minidoka Memorial Hospital is a Pharmacy based in Rupert, ID. Minidoka Memorial Hospital practices in Rupert, ID. The NPI Number for Minidoka Memorial Hospital is 1942364070 and holds a License No. 379HP (Idaho).

The current practice location address for Minidoka Memorial Hospital is 1224 8Th St, Rupert, ID and can be reached out via phone at 208-436-0481 and via fax at 208-436-6038.

Location: 1224 8Th St, Rupert, ID, 83350-1527
institution
Provider Profile Details
NPI Number
1942364070
Provider Name
Minidoka Memorial Hospital
Credential
Provider Entity Type
Organization
Address
1224 8Th St, Rupert, ID, 83350-1527
Phone Number
208-436-0481
Fax Number
208-436-6038
Provider Enumeration Date
12/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1301895 01 NABP (NCPDP)
M0023364 05 ID
379HP 01 ID STATE BOARD OF PHARMACY
institution
Provider Business Practice Location Address Details
Address
1224 8Th St
City
State
Zip
83350-1527
Phone Number
208-436-0481
Fax Number
208-436-6038
person
Provider Business Mailing Address Details
Address
1224 8Th St
City
State
Zip
83350-1527
Phone Number
208-436-0481
Fax Number
208-436-6038
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
License No.
379HP (Idaho)
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
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