Organization · Type 2 NPI

Jershan Enterprises Inc.

Compounding Pharmacy · Rexburg, ID

NPI number 1477400448 Active

Practice location

167 W Main St Ste 1
Rexburg, ID 83440-1826

Specialties and licenses

TaxonomyCodeLicense
Community/Retail Pharmacy 3336C0003XNone listed
Compounding Pharmacy Primary 3336C0004XNone listed

Compounding Pharmacy: A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compoun…

Another provider at this address

About NPI 1477400448

Jershan Enterprises Inc.'s National Provider Identifier is 1477400448, issued on Mar 11, 2026. The primary taxonomy on file is Compounding Pharmacy (3336C0004X), and the practice location is in Rexburg, ID. The record was last updated on May 3, 2026.