Isu Bengal Pharmacy Pocatello

LBN: Idaho State University
Isu Bengal Pharmacy Pocatello is an health care organization with primary practice located at 990 S 8Th Ave , Pocatello ID 83201-4982. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Idaho State University can be contacted via phone (208) 282-3407, or through Trussel, Rikki K via phone (208) 282-3407.

Contact Information

Primary practice address
990 S 8Th Ave Pocatello ID 83201-4982
Phone: (208) 282-3407
Fax: (208) 282-6150
Website:
Map and Directions
Authorized official contact:
Name: Trussel, Rikki K
Phone: (208) 282-3407

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1497194013
LBN Legal business name Idaho State University
DBA Doing business as Isu Bengal Pharmacy Pocatello
Authorized official Trussel, Rikki K
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2013
Last updated Apr 4th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497194013 NPPES
Idaho MEDICAID 1497194013

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