Idaho State University
Idaho State University is a Community/Retail Pharmacy in Pocatello, Idaho. Registered with an NPI since 2013.
- In the registry since
- 2013
Practice location Address checks out
990 S 8th AvePocatello, ID 83201-4982
Phone: (208) 282-3407
Fax: (208) 282-6150
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Retail Pharmacy (primary) | Taxonomy 3336C0003X |
|---|
Record details
| NPI number | 1497194013 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Rikki Trussel — Pharmacy Manager · (208) 282-3407 |
| Other names | Isu Bengal Pharmacy Pocatello |
| NPI enumerated | June 17, 2013 |
| Last updated in NPPES | April 4, 2022 |
| Certification date | April 4, 2022 |
| Mailing address | 990 S 8th Ave, Stop 8158, Pocatello, ID 83209-0001 |
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