Idaho State University Student Health Center Pharmacy

LBN: Idaho State University
Idaho State University Student Health Center Pharmacy is an health care organization with primary practice located at 990 South 8Th , Pocatello ID 83209. The organization recently has only one registered license in Suppliers / Clinic Pharmacy, which is considered as the primary health care specialty. Idaho State University can be contacted via phone (208) 282-3407, or through Davis, Gina via phone (208) 282-3407.

Contact Information

Primary practice address
990 South 8Th Pocatello ID 83209
Phone: (208) 282-3407
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Davis, Gina
Phone: (208) 282-3407

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X 349CP Idaho

Profile Details

NPI number 1730351081
LBN Legal business name Idaho State University
DBA Doing business as Idaho State University Student Health Center Pharmacy
Authorized official Davis, Gina
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 2008
Last updated Feb 3rd, 2012 - about 12 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 1730351081 NPPES
Other 1307974 NCPDP PROVIDER IDENTIFICATION NUMBER

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