Eastman Drug Store

LBN: Eastman Drug Company Inc
Eastman Drug Store is an health care organization with primary practice located at 116 S Main St , Soda Springs ID 83276-1428. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Eastman Drug Company Inc can be contacted via phone (208) 547-3585, or through Christensen, Irvin via phone (208) 547-3585.

Contact Information

Primary practice address
116 S Main St Soda Springs ID 83276-1428
Phone: (208) 547-3585
Fax: (208) 547-3585
Website:
Map and Directions
Authorized official contact:
Name: Christensen, Irvin
Phone: (208) 547-3585

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 1045RP Idaho

Profile Details

NPI number 1437164043
LBN Legal business name Eastman Drug Company Inc
DBA Doing business as Eastman Drug Store
Authorized official Christensen, Irvin
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2006
Last updated Apr 21st, 2017 - about 8 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 1437164043 NPPES
Idaho MEDICAID 001035100
Idaho Other 2020327

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