Mike's Ltc Pharmacy, LLC
NPI #1972398063 in Idaho Falls, Idaho
Provider Information
- NPI Number
- 1972398063
- Entity Type
- Organization
- Organization Name
- Mike's Ltc Pharmacy, LLC
- Primary Specialty
- Pharmacy - Long Term Care Pharmacy
- Enumeration Date
- Apr 10, 2025
- Last Updated
- Oct 8, 2025
Practice Location
- Address
- 180 S HOLMES AVE STE B
- City
- Idaho Falls
- State
- Idaho
- ZIP Code
- 83401-3945
- Phone
- (208) 525-8728
Authorized Official
- Name
- JUSTIN MERRILL, PHARMD
- Title
- OWNER
- Phone
- (208) 525-8728
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
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