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
Phone: (208) 234-4700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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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