Idaho State University
Idaho State University is a Community/Retail Pharmacy in Pocatello, Idaho. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
990 S Cesar ChavezPocatello, ID 83209-0001
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 | 1700472495 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Cynthia Rock — Clinics Director Of Operations · (208) 373-1743 |
| Other names | Isu Bengal Pharmacy; Isu Bengal Pharmacy |
| NPI enumerated | December 16, 2020 |
| Last updated in NPPES | December 22, 2020 |
| Certification date | December 22, 2020 |
| Mailing address | 921 S 8th Ave Stop 8158, Pocatello, ID 83209-0002 |
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Idaho State University
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