Organization · Type 2 NPI

Idaho State University

Community/Retail Pharmacy · Mccammon, ID

NPI number 1083393284 Active

Practice location

208 Center St.
Mccammon, ID 83250

Call (208) 282-6155 Map

Fax (208) 254-9372

Mailing address

990 S 8th Ave Stop 8158
Pocatello, ID 83201-4982

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	None listed

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

NPI record

NPI: 1083393284
Entity type: Organization (Type 2)
Issued: Jul 14, 2023
Last updated: Jul 9, 2024
Status: Active

Other names

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Isu Bengal Pharmacy McCammon · other name
Isu Bengal Pharmacy McCammon · other name

Authorized official

Cynthia Lee Rock
Clinics Director of Operations
(208) 373-1743

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1083393284

Idaho State University's National Provider Identifier is 1083393284, issued on Jul 14, 2023. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Mccammon, ID. The record was last updated on Jul 9, 2024.