Idaho State University
NPI #1730351081 in Pocatello, Idaho
Provider Information
- NPI Number
- 1730351081
- Entity Type
- Organization
- Organization Name
- Idaho State University
- Primary Specialty
- Pharmacy - Clinic Pharmacy
- Enumeration Date
- Mar 27, 2008
- Last Updated
- Feb 3, 2012
Practice Location
Authorized Official
- Name
- GINA DAVIS
- Title
- PHARMACY MANAGER
- Phone
- (208) 282-3407
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Clinic Pharmacy — Clinic Pharmacy |
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