State of Idaho
State of Idaho is a Pharmacy in Blackfoot, Idaho. Licensed in Idaho. Registered with an NPI since 2006.
- Licensed in
- ID
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
700 E Alice StBlackfoot, ID 83221
Phone: (208) 785-1200
Fax: (208) 785-8424
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacy (primary) | Taxonomy 333600000X · Licence 462HP (ID) |
|---|---|
| Long Term Care Pharmacy | Taxonomy 3336L0003X · Licence 462HP (ID) |
Record details
| NPI number | 1750442315 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tracey Sessions — Administrative Director · (208) 785-8406 |
| Other names | State Hospital South Pharmacy |
| NPI enumerated | December 13, 2006 |
| Last updated in NPPES | June 16, 2018 |
| Mailing address | 700 East Alice Street, Po Box 400, Blackfoot, ID 83221 |
Other providers in Blackfoot
-
Bmh Inc
98 Poplar St, Blackfoot, ID 83221-1758 · (208) 782-3955
-
R & J Pharmacy, Inc
69 N Pine St, Blackfoot, ID 83221-2053 · (208) 785-3510
-
Ridleys Family Markets Inc
1295 Parkway Dr, Blackfoot, ID 83221-1683 · (208) 785-1311