Mountain Care Pharmacy Idaho
NPI #1588937395 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1588937395
- Entity Type
- Organization
- Organization Name
- Mountain Care Pharmacy Idaho
- Primary Specialty
- Pharmacy - Long Term Care Pharmacy
- Enumeration Date
- Feb 10, 2012
- Last Updated
- Feb 10, 2012
Practice Location
- Address
- 1753 W BROADWAY ST
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83402-3045
- Phone
- (208) 932-1260
Authorized Official
- Name
- JARED STONG
- Title
- OWNER
- Phone
- (801) 747-7191
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
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