Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STATE OF IDAHO
Active OrganizationSTATE OF IDAHO is a Pharmacy organization located in BLACKFOOT, Idaho. NPI 1750442315 is currently active in the NPPES registry. Verify at CMS.
Pharmacy · BLACKFOOT, ID
Registration Details
- NPI Number
- 1750442315
- Provider Type
- Organization
- NPI Issued
- Dec 13, 2006 (19.661880074829 yrs)
- Last Updated
- Jun 16, 2018
- Licenses
-
462HP (ID)462HP (ID)
Practice Information
- Address
-
700 EAST ALICE STREETBLACKFOOT, ID, 83221Browse ID providers · Browse ZIP 83221
- Phone
- 2087851200
- Fax
- 2087858424
- Primary Specialty
-
Pharmacy
333600000X
- Additional Specialty
- Pharmacy
Other Pharmacy Organizations in BLACKFOOT, ID
| Name | NPI |
|---|---|
| R & J PHARMACY, INC. | 1285635169 |
| WALGREEN CO | 1306086053 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.