GEM STATE PHARMACY LLC is a compounding pharmacy pharmacy in Twin Falls, ID. The provider is a pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. GEM STATE PHARMACY LLC NPI is 1730926080. The provider is registered as an organization entity type.
The provider's business location address is:
1437 PARK VIEW DR # 200 TWIN FALLS, ID ZIP 83301-250 Phone: (208) 329-6104 Fax: (208) 609-6290
The provider's authorized official is Matthew Havili . The authorized official title is Manager and has the following contact phone number (208) 329-6104.
The enumeration date for this NPI number is 7/12/2024 and was last updated on 10/2/2024.
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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