Mikes Pharmacy

LBN: Michael D Merrill
Mikes Pharmacy is an health care organization with primary practice located at 180 S Holmes Ave , Idaho Falls ID 83401-3945. 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. Michael D Merrill can be contacted via phone (208) 525-8700, or through Merrill, Michael via phone (208) 525-8700.

Contact Information

Primary practice address
180 S Holmes Ave Idaho Falls ID 83401-3945
Phone: (208) 525-8700
Fax: (208) 525-8636
Website:
Map and Directions
Authorized official contact:
Name: Merrill, Michael RPH
Phone: (208) 525-8700

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 703RP Idaho

Profile Details

NPI number 1285762542
LBN Legal business name Michael D Merrill
DBA Doing business as Mikes Pharmacy
Authorized official Merrill, Michael RPH
Entity Organization
Organization subpart 1 No
Enumeration date Mar 1st, 2007
Last updated Nov 10th, 2016 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1285762542 NPPES
Idaho MEDICAID 002583900
Idaho Other 2020589

Popular Providers