Idaho State University
NPI #1083393284 in Mccammon, Idaho
Provider Information
- NPI Number
- 1083393284
- Entity Type
- Organization
- Organization Name
- Idaho State University
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jul 14, 2023
- Last Updated
- Jul 9, 2024
Practice Location
Authorized Official
- Name
- CYNTHIA LEE ROCK
- Title
- CLINICS DIRECTOR OF OPERATIONS
- Phone
- (208) 373-1743
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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