| NPI | 1497194013 |
|---|---|
| Other Name | ISU BENGAL PHARMACY POCATELLO |
| Entity Type | Organization |
| Authorized Contact | RIKKI K TRUSSEL Pharmacy Manager 208-282-3407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2022-04-04 |