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STATE OF IDAHO

Pharmacy

NPI: 1750442315Organization

Specialties, Licenses & Credentials

PharmacyPrimary

Pharmacy

Code: 333600000X

462HP(ID)

Pharmacy — Long Term Care Pharmacy

Code: 3336L0003X

462HP(ID)

Contact & Hours

Address
700 EAST ALICE STREET
BLACKFOOT, ID 83221

Quick Facts

NPI
1750442315
Entity Type
Organization
Medicare
Not confirmed
Specialties
2
Locations
1

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