COMMUNITY COUNCIL OF IDAHO, INC.

BLACKFOOT, ID
NPI1487302527
Entity TypeOrganization
Authorized ContactTROY COULSON
Pharmacy Director
208-470-7979
Organization Subpart ?No
Primary Taxonomy3336C0003X Pharmacy Community/Retail Pharmacy
Enumeration Date2022-03-17
Last Update Date2023-04-04
Business Address
COMMUNITY COUNCIL OF IDAHO, INC.
1491 PARKWAY DR
BLACKFOOT, ID 83221-1667
Phone number: 208-435-2379
Mailing Address
COMMUNITY COUNCIL OF IDAHO, INC.
2100 ALAN ST
IDAHO FALLS, ID 83404-5801
Phone number: 208-470-7979
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