Pharmacy Shop

LBN: R & J Pharmacy, Inc.
Pharmacy Shop is an health care organization with primary practice located at 69 N Pine St , Blackfoot ID 83221-2053. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. R & J Pharmacy, Inc. can be contacted via phone (208) 785-3510, or through Miller, Robert Nathan via phone (208) 785-3510.

Contact Information

Primary practice address
69 N Pine St Blackfoot ID 83221-2053
Phone: (208) 785-3510
Fax: (208) 785-7317
Website:
Map and Directions
Authorized official contact:
Name: Miller, Robert Nathan PHARMD
Phone: (208) 785-3510

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 1907CP Idaho

Profile Details

NPI number 1285635169
LBN Legal business name R & J Pharmacy, Inc.
DBA Doing business as Pharmacy Shop
Authorized official Miller, Robert Nathan PHARMD
Entity Organization
Organization subpart 1 No
Enumeration date Aug 2nd, 2005
Last updated May 22nd, 2008 - about 16 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 1285635169 NPPES
Idaho Other 1300514/8L386 BLUE CROSS
Idaho MEDICAID 807034200 BLUE CROSS
Idaho MEDICAID 807071700 BLUE CROSS

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