Marketime Drug Of Moscow Inc in Moscow - Long Term Care Pharmacy
Marketime Drug Of Moscow Inc - NPI 1750498044
Marketime Drug Of Moscow Inc is a Long Term Care Pharmacy in Moscow, Idaho. Marketime Drug Of Moscow Inc practices all healthcare services and medical treatments related to Long Term Care 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 | Long Term Care Pharmacy |
|---|---|
| Taxonomy | 3336L0003X |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 23395 | ID | -- | |
| 23396 | ID | MEDICAID DME | |
| 6021422 | WA | MEDICAID |
Post Comment/ Review Below
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 Long Term Care Pharmacy, and the corresponding taxonomy code is 3336L0003X.
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.