Madison Memorial Hospital

NPI #1821342247 in Rexburg, Idaho

Provider Information

NPI Number
1821342247
Entity Type
Organization
Organization Name
Madison Memorial Hospital
Subpart
Yes (part of a larger organization)
Parent Organization
MADISON MEMORIAL HOSPITAL
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
Nov 7, 2012
Last Updated
Nov 7, 2012

Practice Location

Address
450 E MAIN ST
State
Idaho
ZIP Code
83440-2048
Phone
(208) 359-6900

Authorized Official

Name
DORSIE SULLENGER, RPH
Title
DIRECTOR OF PHARMACY
Phone
(208) 359-6900

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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