Johns Medic Pharmacy

LBN: Johns Medic Pharmacy
Johns Medic Pharmacy is an health care organization with primary practice located at 523 11Th Ave N , Nampa ID 83687-3442. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Johns Medic Pharmacy can be contacted via phone (208) 466-2431, or through Anderson, John via phone (208) 466-2431.

Contact Information

Primary practice address
523 11Th Ave N Nampa ID 83687-3442
Phone: (208) 466-2431
Fax: (208) 466-3249
Website:
Map and Directions
Authorized official contact:
Name: Anderson, John
Phone: (208) 466-2431

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 679RP Idaho

Profile Details

NPI number 1487747820
LBN Legal business name Johns Medic Pharmacy
DBA Doing business as Johns Medic Pharmacy
Authorized official Anderson, John
Entity Organization
Organization subpart 1 No
Enumeration date Sep 30th, 2006
Last updated Sep 4th, 2013 - about 11 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 1487747820 NPPES
Idaho MEDICAID 804004100
Idaho Other 2020580

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