Marketime Drug Of Moscow Inc in Moscow - Community/retail Pharmacy

Marketime Drug Of Moscow Inc - NPI 1750498044

Marketime Drug Of Moscow Inc is a Community/retail Pharmacy in Moscow, Idaho. Marketime Drug Of Moscow Inc practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Marketime Drug Of Moscow Inc is 1750498044. The last update date is 2021-01-04.

Marketime Drug Of Moscow Inc's current location address is 872 Troy Rd Ste 120, Moscow, Idaho. You can contact this provider via phone number 2088827541 and fax number 2088834716. The mailing address for Marketime Drug Of Moscow Inc is 872 Troy Rd Ste 120, Moscow, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Organization Marketime Drug Of Moscow Inc
Address 872 Troy Rd Ste 120, Moscow, Idaho
Phone Number 2088827541
Fax Number 2088834716
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Nelson James Erik
Credentials PHARMD
Telephone Number 5094559345

NPI Number Detail

NPI Number 1750498044
Provider Enumeration Date 2006-08-24
Last Updated Date 2021-01-04

Provider Mailing Address Detail

Address 872 Troy Rd Ste 120
City Moscow
State Idaho (ID)
Post Code 838435037
Phone Number 2088827541
Fax Number 2088834716

Provider's Primary Taxonomy Detail

Speciality Community/retail Pharmacy
Taxonomy 3336C0003X
Definition:
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing pr

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
23395 ID --
23396 ID MEDICAID DME
6021422 WA MEDICAID

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FAQs about Marketime Drug Of Moscow Inc

What is the unique identification code assigned to Marketime Drug Of Moscow Inc by the Centers for Medicare & Medicaid Services?

The Marketime Drug Of Moscow Inc has been issued the NPI (National Provider Identifier) 1750498044. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Marketime Drug Of Moscow Inc is physically located?

The Marketime Drug Of Moscow Inc is situated at the following address: 872 Troy Rd Ste 120, Moscow, ID 838435037.

What is the Marketime Drug Of Moscow Inc's specialty and taxonomy code?

The Marketime Drug Of Moscow Inc's specialty is Community/retail Pharmacy, and the corresponding taxonomy code is 3336C0003X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1750498044 to Marketime Drug Of Moscow Inc?

The Centers for Medicare & Medicaid Services originally issued the 1750498044 to Marketime Drug Of Moscow Inc on 2006-08-24.

As of what date were the details related to Marketime Drug Of Moscow Inc most recently updated or revised?

The information pertaining to Marketime Drug Of Moscow Inc, including its address, specialty, and other relevant details, was last updated or revised on 2021-01-04.

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