Idaho Drug

LBN: Idaho Rx Inc
Idaho Drug is an health care organization with primary practice located at 139 E Main St , Rigby ID 83442-1417. 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. Idaho Rx Inc can be contacted via phone (208) 745-6831, or through Permann, Shane via phone (208) 745-6831.

Contact Information

Primary practice address
139 E Main St Rigby ID 83442-1417
Phone: (208) 745-6831
Fax: (208) 745-6161
Website:
Map and Directions
Authorized official contact:
Name: Permann, Shane
Phone: (208) 745-6831

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 2171RP Idaho

Profile Details

NPI number 1447385893
LBN Legal business name Idaho Rx Inc
DBA Doing business as Idaho Drug
Authorized official Permann, Shane
Entity Organization
Organization subpart 1 No
Enumeration date Feb 23rd, 2007
Last updated Apr 26th, 2016 - about 10 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 1447385893 NPPES
Idaho MEDICAID 807007100
Idaho Other 2124041

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