| NPI | 1740964295 |
|---|---|
| Other Name | ISU BENGAL PHARMACY CHUBBUCK |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA LEE ROCK Clinics Director Of Operations 208-373-1743 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2024-05-15 |