State Of Idaho
Pharmacy
700 East Alice Street, Blackfoot
Idaho, 83221
208-785-1200 208-785-8424
State Of Idaho is a Pharmacy in Blackfoot, 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 Of Idaho 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 Of Idaho is 462HP for Pharmacy in Idaho.
State Of Idaho 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 Of Idaho 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 Of Idaho |
| 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 Of Idaho 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 Of Idaho at
700 East Alice Street, Blackfoot, Idaho or can
call on customer care at 208-785-1200.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.