Idaho State University Student Health Center Pharmacy is not a DME supplier for medicare equipments and products.
Idaho State University Student Health Center Pharmacy is a Clinic Pharmacy in Pocatello, Idaho. This pharmacy is owned and operated by Idaho State University. 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 Student Health Center Pharmacy 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 Student Health Center Pharmacy is 349CP for Clinic Pharmacy in Idaho. Idaho State University Student Health Center Pharmacy 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 Student Health Center Pharmacy 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 Student Health Center Pharmacy
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 Student Health Center Pharmacy 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
Fax Number:
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Patients can reach Idaho State University Student Health Center Pharmacy at 990 South 8th, Pocatello, Idaho or can call on customer care at 208-282-3407.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
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