STATE OF IDAHO

Pharmacy

Active Organization
NPI: 1750442315

Practice Address

700 EAST ALICE STREET
Blackfoot, ID 83221

Phone: (208) 785-1200

Specialties

Specialty Code Primary License
Pharmacy - Long Term Care Pharmacy 3336L0003X No 462HP (ID)
Pharmacy 333600000X Yes 462HP (ID)

Frequently Asked Questions

NPI 1750442315 is the National Provider Identifier for STATE OF IDAHO, a Pharmacy provider located in Blackfoot, ID. This NPI was enumerated on December 13, 2006.

Quick Facts

NPI
1750442315
Type
Organization
Enumerated
Dec 13, 2006
Last Updated
Jun 16, 2018

Nearby Providers