Organization · Type 2 NPI

Idaho State University

Clinic Pharmacy · Pocatello, ID

NPI number 1730351081 Active

Practice location

990 South 8th
Pocatello, ID 83209

Mailing address

921 S 8th Ave Stop 8311
Pocatello, ID 83209-0002

Specialties and licenses

TaxonomyCodeLicense
Clinic Pharmacy Primary 3336C0002X349CP (ID)

Clinic Pharmacy: A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

About NPI 1730351081

Idaho State University's National Provider Identifier is 1730351081, issued on Mar 27, 2008. The primary taxonomy on file is Clinic Pharmacy (3336C0002X), and the practice location is in Pocatello, ID. The record was last updated on Feb 3, 2012.