SANDPOINT SUPER DRUG CLINICAL NPI 1104584739

NPI Information

  • NPI: 1104584739
  • Provider Name: SANDPOINT SUPER DRUG CLINICAL
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Other Name: SANDPOINT SUPER DRUG CLINICAL SERVICES
  • Address: 604 N FIFTH AVE
    SANDPOINT, ID
    ZIP 83864
  • Phone: (208) 263-1408

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NPI Details

SANDPOINT SUPER DRUG CLINICAL is a family medicine in Sandpoint, ID. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SANDPOINT SUPER DRUG CLINICAL NPI is 1104584739. The provider is registered as an organization entity type.
The provider Other Name Is Sandpoint Super Drug Clinical Services.

The provider's business location address is:

604 N FIFTH AVE
SANDPOINT, ID
ZIP 83864-520
Phone: (208) 263-1408

The provider's authorized official is Scott Porter .
The authorized official title is Authorized Official and has the following contact phone number (208) 263-1408.

The enumeration date for this NPI number is 12/1/2021 and was last updated on 3/24/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0002XPharmacyClinic PharmacyNo
2207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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