Gooding Pharmacy

LBN: Gooding Pharmacy Inc
Gooding Pharmacy is an health care organization with primary practice located at 414 Main St , Gooding ID 83330-1315. 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) 681-5897.

Contact Information

Primary practice address
414 Main St Gooding ID 83330-1315
Phone: (208) 934-4000
Fax: (208) 934-8899
Website:
Map and Directions
Authorized official contact:
Name: Reading, Jason PHARM-D
Phone: (208) 681-5897

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 40040RP Idaho

Profile Details

NPI number 1417333501
LBN Legal business name Gooding Pharmacy Inc
DBA Doing business as Gooding Pharmacy
Authorized official Reading, Jason PHARM-D
Entity Organization
Organization subpart 1 No
Enumeration date Jul 31st, 2015
Last updated May 20th, 2022 - about 4 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 1417333501 NPPES
Idaho MEDICAID 1417333501
Idaho Other 2153679

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