Marketime Drug
LBN: Marketime Drug Of Moscow Inc
Marketime Drug is an health care organization with primary practice located at 872 Troy Rd Ste 120 , Moscow ID 83843-5037. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / 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) 455-9345.
Contact Information
Primary practice address
872 Troy Rd Ste 120
Moscow ID 83843-5037
Phone: (208) 882-7541
Fax: (208) 883-4716
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | 217CP | Idaho |
| Suppliers / Community/Retail Pharmacy | 3336C0003X | ||
| Suppliers / Long Term Care Pharmacy | 3336L0003X |
Profile Details
| NPI number | 1750498044 |
|---|---|
| LBN Legal business name | Marketime Drug Of Moscow Inc |
| DBA Doing business as | Marketime Drug |
| Authorized official | Nelson, Erik James PHARMD |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 24th, 2006 |
| Last updated | Jan 4th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750498044 | NPPES |
| Idaho | MEDICAID | 0023395 | |
| Idaho | Other | 0023396 | |
| Idaho | Other | 6021422 |
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