Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Idaho State University

Organization Community/Retail Pharmacy · NPI 1740964295

Idaho State University is a Community/Retail Pharmacy in Chubbuck, Idaho. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

4914 Yellowstone Ave Ste A
Chubbuck, ID 83202-2332
Phone: (208) 282-5790
Fax: (208) 237-3906
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X

Record details

NPI number1740964295
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cynthia Rock — Clinics Director Of Operations · (208) 373-1743
Other names Isu Bengal Pharmacy Chubbuck; Isu Bengal Pharmacy Chubbuck
NPI enumeratedJune 14, 2023
Last updated in NPPESMay 15, 2024
Certification dateMay 15, 2024
Mailing address990 S 8th Ave Stop 8158, Pocatello, ID 83201-4982

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