Organization · Type 2 NPI

Eastgate Drug

Community/Retail Pharmacy · Ammon, ID

NPI number 1609800937 Active

Practice location

3250 E 17th St
Ammon, ID 83406-6758

Fax (208) 523-3780

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	1010CP (ID)
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 …

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About NPI 1609800937

Eastgate Drug's National Provider Identifier is 1609800937, issued on Jul 11, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Ammon, ID. The record was last updated on Sep 11, 2025.