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1821342247
MADISON MEMORIAL HOSPITAL
REXBURG, ID
NPI
1821342247
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Entity Type
Organization
Authorized Contact
DORSIE SULLENGER
Director Of Pharmacy
208-359-6900
Organization Subpart ?
Yes
Primary Taxonomy
332900000X Non-Pharmacy Dispensing Site
Enumeration Date
2012-11-07
Last Update Date
2012-11-07
Business Address
MADISON MEMORIAL HOSPITAL
450 E MAIN ST
REXBURG, ID 83440-2048
Phone number: 208-359-6900
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Mailing Address
MADISON MEMORIAL HOSPITAL
6501 CITY WEST PKWY
EDEN PRAIRIE, MN 55344-3248
Phone number: 952-653-2525
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