Idaho Cvs Pharmacy LLC

NPI #1841212636 in Twin Falls, Idaho

Provider Information

NPI Number
1841212636
Entity Type
Organization
Organization Name
Idaho Cvs Pharmacy LLC
Primary Specialty
Pharmacy
Enumeration Date
Jul 24, 2006
Last Updated
Oct 31, 2016

Practice Location

Address
1611 BLUE LAKES BLVD N
State
Idaho
ZIP Code
83301-3374
Phone
(208) 736-3321

Authorized Official

Name
SUSAN COLBERT
Title
SR. DIRECTOR, PAYER RELATIONS
Phone
(401) 770-2751

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy
Pharmacy

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