Fogg Drug Co INC
NPI #1205972817 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1205972817
- Entity Type
- Organization
- Organization Name
- Fogg Drug Co INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Jan 30, 2007
- Last Updated
- Dec 22, 2014
Practice Location
- Address
- 120 NORTHGATE MILE
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83401-2543
- Phone
- (208) 522-8357
Authorized Official
- Name
- STEPHEN FOGG, RPH
- Title
- MANAGER
- Phone
- (208) 522-8357
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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