Idaho State University
Clinic Pharmacy
990 South 8th, Pocatello
Idaho, 83209
208-282-3407 Idaho State University is a Clinic Pharmacy in Pocatello, Idaho. It is located at 990 South 8th, Pocatello and it's customer support contact number is 208-282-3407. The authorized person of Idaho State University is Gina Davis who is Pharmacy Manager of the pharmacy and his contact number is 208-282-3407. Active license number of Idaho State University is 349CP for Clinic Pharmacy in Idaho.
Idaho State University is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
Pharmacy Details:
Idaho State University type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Idaho State University |
| Type: | Clinic Pharmacy |
| Location: | 990 South 8th, Pocatello,
Idaho, 83209 |
| Phone: | 208-282-3407 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Gina Davis |
| Position: | Pharmacy Manager |
| Contact Number: | 208-282-3407 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1730351081 |
| NPI Enumeration Date: | 27 Mar, 2008 |
| NPI Last Update On: | 03 Feb, 2012 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Idaho State University are as mentioned below.
| Specialization | License Number | State | Status | |
| Clinic Pharmacy | 349CP | Idaho | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1307974 | Other | | Ncpdp Provider Identification Number |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 921 S 8th Ave Stop 8311,
Pocatello, Idaho |
| Zip: | 83209-0002 |
| Phone Number: | 208-282-3407 |
Patients can reach Idaho State University at
990 South 8th, Pocatello, Idaho or can
call on customer care at 208-282-3407.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.