Organization · Type 2 NPI

Byu Id Student HLTH CNTR Pchy

Clinic Pharmacy · Rexburg, ID

NPI number 1992726962 Active

Practice location

179 Student Hlth Ctr
Rexburg, ID 83460-0001

Fax (208) 496-9343

Specialties and licenses

TaxonomyCodeLicense
Pharmacy 333600000XNone listed
Clinic Pharmacy Primary 3336C0002X614RP (ID)
Community/Retail Pharmacy 3336C0003XNone listed

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 1992726962

Byu Id Student HLTH CNTR Pchy's National Provider Identifier is 1992726962, issued on Jul 22, 2006. The primary taxonomy on file is Clinic Pharmacy (3336C0002X), and the practice location is in Rexburg, ID. The record was last updated on Apr 18, 2017.