Idaho State University in Challis - Community/retail Pharmacy
Idaho State University - NPI 1376602680
Idaho State University is a Community/retail Pharmacy in Challis, Idaho. Idaho State University practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Idaho State University is 1376602680. The last update date is 2022-02-23.
Idaho State University's current location address is 609 Clinic Rd, Challis, Idaho. You can contact this provider via phone number 2088794600 and fax number 2088795379. The mailing address for Idaho State University is 609 Clinic Rd, Challis, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Idaho State University |
|---|---|
| Address | 609 Clinic Rd, Challis, Idaho |
| Phone Number | 2088794600 |
| Fax Number | 2088795379 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHARMACY M |
|---|---|
| Authorized Official Name | Brower Victor Brady |
| Credentials | PHARMD |
| Telephone Number | 2082823407 |
NPI Number Detail
| NPI Number | 1376602680 |
|---|---|
| Provider Enumeration Date | 2006-12-06 |
| Last Updated Date | 2022-02-23 |
Provider Mailing Address Detail
| Address | 609 Clinic Rd |
|---|---|
| City | Challis |
| State | Idaho (ID) |
| Post Code | 832260070 |
| Phone Number | 2088794600 |
| Fax Number | 2088795379 |
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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1376602680 | ID | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Idaho State University by the Centers for Medicare & Medicaid Services?
The Idaho State University has been issued the NPI (National Provider Identifier) 1376602680. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Idaho State University is geographically located?
The Idaho State University is physically situated at the following location: 609 Clinic Rd, Challis, ID, 832260070.
What is Idaho State University's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Idaho State University is Community/retail Pharmacy, and the taxonomy code that classifies this field of practice is 3336C0003X.
When was the Idaho State University's 1376602680 issued?
The Idaho State University's 1376602680 was issued on 2006-12-06.
When was the information related to Idaho State University most recently updated or refreshed?
The details pertaining to the Idaho State University, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-02-23.
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