<Unavail>

LBN: Idaho State University
<Unavail> is an health care organization with primary practice located at 990 S Cesar Chavez , Pocatello ID 83209-0001. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Idaho State University can be contacted via phone (208) 282-3407, or through Rock, Cynthia Lee via phone (208) 373-1743.

Contact Information

Primary practice address
990 S Cesar Chavez Pocatello ID 83209-0001
Phone: (208) 282-3407
Fax: (208) 282-6150
Website:
Map and Directions
Authorized official contact:
Name: Rock, Cynthia Lee
Phone: (208) 373-1743

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1700472495
LBN Legal business name Idaho State University
DBA Doing business as <Unavail>
Authorized official Rock, Cynthia Lee
Entity Organization
Organization subpart 1 No
Enumeration date Dec 16th, 2020
Last updated Dec 22nd, 2020 - about 6 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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