State Hospital South Pharmacy is not a DME supplier for medicare equipments and products.
State Hospital South Pharmacy is a Pharmacy in Blackfoot, Idaho. This pharmacy is owned and operated by State Of Idaho. It is located at 700 East Alice Street, Blackfoot and it's customer support contact number is 208-785-1200. The authorized person of State Hospital South Pharmacy is Mrs. Tracey G. Sessions who is Administrative Director of the pharmacy and her contact number is 208-785-8406. Active license number of State Hospital South Pharmacy is 462HP for Pharmacy in Idaho. State Hospital South Pharmacy is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Pharmacy Details:
State Hospital South 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:
State Hospital South Pharmacy
Type:
Pharmacy
Location:
700 East Alice Street, Blackfoot, Idaho, 83221
Phone:
208-785-1200
Fax:
208-785-8424
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:
Mrs. Tracey G. Sessions
Position:
Administrative Director
Contact Number:
208-785-8406
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:
1750442315
NPI Enumeration Date:
13 Dec, 2006
NPI Last Update On:
16 Jun, 2018
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for State Hospital South Pharmacy are as mentioned below.
Specialization
License Number
State
Status
Pharmacy
462HP
Idaho
Primary
Long Term Care Pharmacy
462HP
Idaho
Secondary
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
002825500
Medicaid
Idaho
002835700
Medicaid
Idaho
1302772
Other
Idaho
Nabp & Ncpdp
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
700 East Alice Street, Po Box 400 Blackfoot, Idaho
Zip:
83221
Phone Number:
208-785-1200
Fax Number:
208-785-8424
Patients can reach State Hospital South Pharmacy at 700 East Alice Street, Blackfoot, Idaho or can call on customer care at 208-785-1200.
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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