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FOGG DRUG CO INC NPI 1205972817


NPI Information

NPI: 1205972817
Provider Name: FOGG DRUG CO INC

Doing Business As: HYWAY DRUG

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
120 NORTHGATE MILE
IDAHO FALLS, ID
ZIP 83401
Phone: (208) 522-8357
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FOGG DRUG CO INC is a community/retail pharmacy pharmacy in Idaho Falls, ID. The provider is 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 health care providers, collaborative practice, disease state management, and education classes. FOGG DRUG CO INC NPI is 1205972817. The provider is registered as an organization entity type.
The provider Is Doing Business As Hyway Drug.

The provider's business location address is:

120 NORTHGATE MILE
IDAHO FALLS, ID
ZIP 83401-543
Phone: (208) 522-8357
Fax: (208) 528-0288

The provider's authorized official is Stephen Fogg .
The authorized official title is Manager and has the following contact phone number (208) 522-8357.

The enumeration date for this NPI number is 1/30/2007 and was last updated on 12/22/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy214RPIDAHOYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1002291200MEDICAIDIDAHO
22020088OTHERPK

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: 4/28/2024

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