| NPI | 1760597793 |
|---|---|
| Doing Business As | MEDICAP PHARMACY |
| Entity Type | Organization |
| Authorized Contact | DEVIN TRONE President/Pharm.D 208-288-1496 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: ID 1957RP) |
| Additional Taxonomies | 333600000X Pharmacy (Licence: ID 1957RP) |
| 3336H0001X Pharmacy, Home Infusion Therapy Pharmacy (Licence: ID 1957RP) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: ID 1957RP) | |
| 3336S0011X Pharmacy, Specialty Pharmacy (Licence: ID 1957RP) | |
| 3336C0004X Pharmacy, Compounding Pharmacy (Licence: ID 1957RP) | |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: ID 1957RP) | |
| 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: OR RP-0002755-CS) | |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2023-03-07 |