Idaho State University
Idaho State University is a Clinic Pharmacy in Pocatello, Idaho. Licensed in Idaho. Registered with an NPI since 2008.
- Licensed in
- ID
- In the registry since
- 2008
Practice location Address checks out
990 S 8thPocatello, ID 83209
Phone: (208) 282-3407
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic Pharmacy (primary) | Taxonomy 3336C0002X · Licence 349CP (ID) |
|---|
Record details
| NPI number | 1730351081 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gina Davis — Pharmacy Manager · (208) 282-3407 |
| Other names | Idaho State University Student Health Center Pharmacy |
| NPI enumerated | March 27, 2008 |
| Last updated in NPPES | February 3, 2012 |
| Mailing address | 921 S 8th Ave Stop 8311, Pocatello, ID 83209-0002 |