Shoshone Pharmacy

LBN: Gooding Pharmacy Inc
Shoshone Pharmacy is an health care organization with primary practice located at 120 South Apple Suite A, Shoshone ID 83352. 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. Gooding Pharmacy Inc can be contacted via phone (208) 934-4000, or through Reading, Jason via phone (208) 324-3784.

Contact Information

Primary practice address
120 South Apple Suite A Shoshone ID 83352
Phone: (208) 934-4000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Reading, Jason
Phone: (208) 324-3784

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 43300LS Idaho

Profile Details

NPI number 1053860767
LBN Legal business name Gooding Pharmacy Inc
DBA Doing business as Shoshone Pharmacy
Authorized official Reading, Jason
Entity Organization
Organization subpart 1 No
Enumeration date Sep 23rd, 2016
Last updated Feb 16th, 2017 - about 9 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 1053860767 NPPES
Other 2164357 PK

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