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
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 PharmacyCommunity/Retail Pharmacy

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