Community Council of Idaho, Inc.
NPI #1487302527 in Blackfoot, Idaho
Provider Information
- NPI Number
- 1487302527
- Entity Type
- Organization
- Organization Name
- Community Council of Idaho, Inc.
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Mar 17, 2022
- Last Updated
- Apr 4, 2023
Practice Location
Authorized Official
- Name
- TROY COULSON, PHARMD
- Title
- PHARMACY DIRECTOR
- Phone
- (208) 470-7979
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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