MOUNTAIN CARE PHARMACY IDAHO NPI 1588937395

NPI Information

MOUNTAIN CARE PHARMACY IDAHO is a long term care pharmacy pharmacy in Idaho Falls, 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, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. MOUNTAIN CARE PHARMACY IDAHO NPI is 1588937395. The provider is registered as an organization entity type.
The provider Is Doing Business As Mountain Care Pharmacy.

The provider's business location address is:

1753 W BROADWAY ST
IDAHO FALLS, ID
ZIP 83402-045
Phone: (208) 932-1260
Fax: (208) 523-2330

The provider's authorized official is Jared Stong .
The authorized official title is Owner and has the following contact phone number (801) 747-7191.

The enumeration date for this NPI number is 2/10/2012 and was last updated on 2/10/2012.

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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