Marketime Drug Of Moscow Inc

LBN: Marketime Drug Of Moscow Inc
Marketime Drug Of Moscow Inc is an health care organization with primary practice located at 872 Troy Rd Ste 120 , Moscow ID 83843-5037. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Marketime Drug Of Moscow Inc can be contacted via phone (208) 882-7541, or through Nelson, Erik James via phone (509) 868-6559.

Contact Information

Primary practice address
872 Troy Rd Ste 120 Moscow ID 83843-5037
Phone: (208) 882-7541
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nelson, Erik James
Phone: (509) 868-6559

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Long Term Care Pharmacy 3336L0003X

Profile Details

NPI number 1164010229
LBN Legal business name Marketime Drug Of Moscow Inc
DBA Doing business as
Authorized official Nelson, Erik James
Entity Organization
Organization subpart 1 No
Enumeration date Jan 5th, 2021
Last updated Apr 1st, 2022 - about 3 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 1164010229 NPPES
Idaho MEDICAID 0023396

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