MAAG PRESCRIPTION CENTER LLC NPI 1134783202

NPI Information

MAAG PRESCRIPTION CENTER LLC is a long term care pharmacy pharmacy in Pocatello, ID. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. MAAG PRESCRIPTION CENTER LLC NPI is 1134783202. The provider is registered as an organization entity type.

The provider's business location address is:

333 W CENTER ST
POCATELLO, ID
ZIP 83204-243
Phone: (208) 233-2063
Fax: (208) 233-6158

The provider's authorized official is Kathleen Carol Maag .
The authorized official title is Board Of Direction, Vp, Treasurer and has the following contact phone number (208) 233-2063.

The CLIA number assigned to this NPI record is 13D2158548 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/24/2019 and was last updated on 4/24/2019.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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