<Unavail>

LBN: Fogg Drug Co Inc
<Unavail> is an health care organization with primary practice located at 120 Northgate Mile , Idaho Falls ID 83401-2543. 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. Fogg Drug Co Inc can be contacted via phone (208) 522-8357, or through Fogg, Stephen via phone (208) 522-8357.

Contact Information

Primary practice address
120 Northgate Mile Idaho Falls ID 83401-2543
Phone: (208) 522-8357
Fax: (208) 528-0288
Website:
Map and Directions
Authorized official contact:
Name: Fogg, Stephen RPH
Phone: (208) 522-8357

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 214RP Idaho

Profile Details

NPI number 1205972817
LBN Legal business name Fogg Drug Co Inc
DBA Doing business as <Unavail>
Authorized official Fogg, Stephen RPH
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2007
Last updated Dec 22nd, 2014 - about 12 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 1205972817 NPPES
Other 2020088 PK
MEDICAID 002291200 PK

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