Organization · Type 2 NPI

Idaho State University

Community/Retail Pharmacy · Pocatello, ID

NPI number 1700472495 Active

Practice location

990 S Cesar Chavez
Pocatello, ID 83209-0001

Call (208) 282-3407 Map

Fax (208) 282-6150

Mailing address

921 S 8th Ave Stop 8158
Pocatello, ID 83209-0002

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 …

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NPI record

NPI: 1700472495
Entity type: Organization (Type 2)
Issued: Dec 16, 2020
Last updated: Dec 22, 2020
Status: Active

Other names

<unavail>
Isu Bengal Pharmacy · doing business as
Isu Bengal Pharmacy · doing business as

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 1700472495

Idaho State University's National Provider Identifier is 1700472495, issued on Dec 16, 2020. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Pocatello, ID. The record was last updated on Dec 22, 2020.