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1730926080
GEM STATE PHARMACY LLC
TWIN FALLS, ID
NPI
1730926080
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Entity Type
Organization
Authorized Contact
MATTHEW HAVILI
Manager
208-329-6104
Organization Subpart ?
No
Primary Taxonomy
3336C0004X Pharmacy, Compounding Pharmacy
Enumeration Date
2024-07-12
Last Update Date
2024-10-02
Business Address
GEM STATE PHARMACY LLC
1437 PARK VIEW DR # 200
TWIN FALLS, ID 83301-3250
Phone number: 208-329-6104
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Mailing Address
GEM STATE PHARMACY LLC
1516 W BLUE DOWNS ST
MERIDIAN, ID 83642-8496
Phone number: 208-329-6104
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