Medicap Pharmacy #8427

LBN: Dj Garden Valley Pharmacy
Medicap Pharmacy #8427 is an health care organization with primary practice located at 284 Village Cir Ste 100 , Garden Valley ID 83622-8038. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Dj Garden Valley Pharmacy can be contacted via phone (208) 901-8006, or through Trone, Devin via phone (208) 901-8006.

Contact Information

Primary practice address
284 Village Cir Ste 100 Garden Valley ID 83622-8038
Phone: (208) 901-8006
Fax: (208) 901-8007
Website:
Map and Directions
Authorized official contact:
Name: Trone, Devin
Phone: (208) 901-8006

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1457874612
LBN Legal business name Dj Garden Valley Pharmacy
DBA Doing business as Medicap Pharmacy #8427
Authorized official Trone, Devin
Entity Organization
Organization subpart 1 No
Enumeration date Jul 19th, 2017
Last updated Dec 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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