Lystrup, Alex James

Lystrup, Alex James is an individual health care provider with primary practice located at 465 Memorial Dr , Pocatello ID 83201-4008. He recently has only one registered license in Pharmacy Service Providers / Pharmacotherapy, which is considered as his primary health care specialty. Lystrup, Alex James can be contacted via phone (208) 234-4700.

Contact Information

Primary practice address
465 Memorial Dr Pocatello ID 83201-4008
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacotherapy 1835P1200X P8065 Idaho

Profile Details

NPI number 1124670831
LBN Legal business name Lystrup, Alex James
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2019
Last updated Jul 12th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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