IDAHO STATE UNIVERSITY is a health service clinic center in Chubbuck, ID. IDAHO STATE UNIVERSITY NPI is 1457060790. The provider is registered as an organization entity type and is a single specialty group. The provider Other Name Is Isu Pharmacist Clinic.
The provider's business location address is:
4914 YELLOWSTONE AVE STE B CHUBBUCK, ID ZIP 83202-332 Phone: (208) 282-2005
The provider's authorized official is Cynthia Lee Rock . The authorized official title is Clinics Director Of Operations and has the following contact phone number (208) 373-1743.
The enumeration date for this NPI number is 11/15/2022 and was last updated on 6/14/2023.
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:
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: 11/21/2025
NPI Synchronization or Removal
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