IDAHO STATE UNIVERSITY

POCATELLO, ID
NPI1497194013
Entity TypeOrganization
Authorized ContactRIKKI K TRUSSEL
Pharmacy Manager
208-282-3407
Organization Subpart ?No
Primary Taxonomy3336C0003X Pharmacy Community/Retail Pharmacy
Enumeration Date2013-06-17
Last Update Date2022-04-04
Business Address
IDAHO STATE UNIVERSITY
990 S 8TH AVE
POCATELLO, ID 83201-4982
Phone number: 208-282-3407
Mailing Address
IDAHO STATE UNIVERSITY
990 S 8TH AVE STOP 8158
POCATELLO, ID 83209-0001
Phone number: 208-282-3407
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