State Of Idaho in Blackfoot - Long Term Care Pharmacy
State Of Idaho - NPI 1750442315
State Of Idaho is a Long Term Care Pharmacy in Blackfoot, Idaho. State Of Idaho practices all healthcare services and medical treatments related to Long Term Care Pharmacy. The NPI Number for State Of Idaho is 1750442315. The last update date is 2018-06-16.
State Of Idaho's current location address is 700 East Alice Street, Blackfoot, Idaho. You can contact this provider via phone number 2087851200 and fax number 2087858424. The mailing address for State Of Idaho is 700 East Alice Street, Blackfoot, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | State Of Idaho |
|---|---|
| Address | 700 East Alice Street, Blackfoot, Idaho |
| Phone Number | 2087851200 |
| Fax Number | 2087858424 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Sessions G. Tracey |
| Telephone Number | 2087858406 |
NPI Number Detail
| NPI Number | 1750442315 |
|---|---|
| Provider Enumeration Date | 2006-12-13 |
| Last Updated Date | 2018-06-16 |
Provider Mailing Address Detail
| Address | 700 East Alice Street |
|---|---|
| City | Blackfoot |
| State | Idaho (ID) |
| Post Code | 83221 |
| Phone Number | 2087851200 |
| Fax Number | 2087858424 |
Provider's Primary Taxonomy Detail
| Speciality | Long Term Care Pharmacy |
|---|---|
| Taxonomy | 3336L0003X |
| Licence No | 462HP |
|
Definition: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregat |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2825500 | ID | -- | |
| 2835700 | ID | -- | |
| 1302772 | ID | NABP & NCPDP |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to State Of Idaho by the Centers for Medicare & Medicaid Services?
The State Of Idaho has been issued the NPI (National Provider Identifier) 1750442315 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the State Of Idaho's physical address?
The State Of Idaho is physically located at 700 East Alice Street, in the city of Blackfoot, ID, with the postal code 83221.
What is State Of Idaho's area of expertise and its corresponding taxonomy classification?
The State Of Idaho's field of specialization is Long Term Care Pharmacy, and it falls under the taxonomy code 3336L0003X, which categorizes healthcare providers based on their areas of practice.
When was the State Of Idaho's 1750442315 issued?
The State Of Idaho's 1750442315 was issued on 2006-12-13.
As of what date was the information regarding State Of Idaho, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to State Of Idaho, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-06-16.