Organization · Type 2 NPI

Community Council of Idaho, Inc

Community/Retail Pharmacy · Idaho Falls, ID

NPI number 1700542255 Active

Practice location

2100 Alan Street
Idaho Falls, ID 83404

Call (208) 528-7655 Map

Mailing address

2100 Alan St
Idaho Falls, ID 83404-5801

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: 1700542255
Entity type: Organization (Type 2)
Issued: Nov 9, 2021
Last updated: Apr 4, 2023
Status: Active
Subpart: Yes of Community Council of Idaho, Inc

Other names

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Community Family Clinic Pharmacy · doing business as
Community Family Clinic Pharmacy · doing business as

Authorized official

Troy Coulson, PharmD
Pharmacy Director
(208) 470-7979

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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 1700542255

Community Council of Idaho, Inc's National Provider Identifier is 1700542255, issued on Nov 9, 2021. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Idaho Falls, ID. The record was last updated on Apr 4, 2023.