Medical Clinic Pharmacy Inc in Caldwell - Compounding Pharmacy
Medical Clinic Pharmacy Inc - NPI 1962581652
Medical Clinic Pharmacy Inc is a Compounding Pharmacy in Caldwell, Idaho. Medical Clinic Pharmacy Inc practices all healthcare services and medical treatments related to Compounding Pharmacy. The NPI Number for Medical Clinic Pharmacy Inc is 1962581652. The last update date is 2018-07-19.
Medical Clinic Pharmacy Inc's current location address is 315 E Elm St, Caldwell, Idaho. You can contact this provider via phone number 2084591503 and fax number 2084591504. The mailing address for Medical Clinic Pharmacy Inc is 315 E Elm St, Caldwell, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Medical Clinic Pharmacy Inc |
|---|---|
| Address | 315 E Elm St, Caldwell, Idaho |
| Phone Number | 2084591503 |
| Fax Number | 2084591504 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Higgins Tyler |
| Telephone Number | 2084591503 |
NPI Number Detail
| NPI Number | 1962581652 |
|---|---|
| Provider Enumeration Date | 2006-11-03 |
| Last Updated Date | 2018-07-19 |
Provider Mailing Address Detail
| Address | 315 E Elm St |
|---|---|
| City | Caldwell |
| State | Idaho (ID) |
| Post Code | 836054857 |
| Phone Number | 2084591503 |
| Fax Number | 2084591504 |
Provider's Primary Taxonomy Detail
| Speciality | Compounding Pharmacy |
|---|---|
| Taxonomy | 3336C0004X |
|
Definition: A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional pract |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1962581652 | ID | -- | |
| 2123594 | PK |
Post Comment/ Review Below
What is the unique identifier code issued to Medical Clinic Pharmacy Inc by the Centers for Medicare & Medicaid Services (CMS)?
The Medical Clinic Pharmacy Inc has been assigned the NPI (National Provider Identifier) 1962581652. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Medical Clinic Pharmacy Inc is physically located?
The Medical Clinic Pharmacy Inc is situated at the following address: 315 E Elm St, Caldwell, ID 836054857.
What is Medical Clinic Pharmacy Inc's area of expertise and its corresponding taxonomy classification?
The Medical Clinic Pharmacy Inc's field of specialization is Compounding Pharmacy, and it falls under the taxonomy code 3336C0004X, which categorizes healthcare providers based on their areas of practice.
On what date did the Medical Clinic Pharmacy Inc receive its 1962581652 assignment from the Centers for Medicare & Medicaid Services?
The Medical Clinic Pharmacy Inc was assigned its 1962581652 by the Centers for Medicare & Medicaid Services on 2006-11-03.
When was the information related to Medical Clinic Pharmacy Inc most recently updated or refreshed?
The details pertaining to the Medical Clinic Pharmacy Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2018-07-19.