State of Idaho-Dba Idaho State School & Hospital Pharmacy
NPI #1265559314 in Nampa, Idaho
Provider Information
- NPI Number
- 1265559314
- Entity Type
- Organization
- Organization Name
- State of Idaho-Dba Idaho State School & Hospital Pharmacy
- Primary Specialty
- Pharmacy - Institutional Pharmacy
- Enumeration Date
- Mar 23, 2007
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- SUSAN BROETJE
- Title
- ADMINISTRATIVE DIRECTOR
- Phone
- (208) 442-2812
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Institutional Pharmacy — Institutional Pharmacy |
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