<Unavail>

LBN: Eastgate Drug Inc
<Unavail> is an health care organization with primary practice located at 1850 W Broadway , Idaho Falls ID 83402. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Eastgate Drug Inc can be contacted via phone (208) 522-4655, or through Smith, Corey via phone (208) 522-1243.

Contact Information

Primary practice address
1850 W Broadway Idaho Falls ID 83402
Phone: (208) 522-4655
Fax: (208) 522-6670
Website:
Map and Directions
Authorized official contact:
Name: Smith, Corey
Phone: (208) 522-1243

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X 2125CP Idaho

Profile Details

NPI number 1487739611
LBN Legal business name Eastgate Drug Inc
DBA Doing business as <Unavail>
Authorized official Smith, Corey
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2006
Last updated Aug 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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Identifiers

StateTypeNumberIssuer
All States NPI 1487739611 NPPES
Other 1307734 OTHER ID NUMBER-COMMERCIAL NUMBER

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