Ashton Community Pharmacy

LBN: Robert Leland Comstock Jr
Ashton Community Pharmacy is an health care organization with primary practice located at 23 South 8Th Street Suite 2, Ashton ID 83420. 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. Robert Leland Comstock Jr can be contacted via phone (208) 652-3932, or through Comstock, Bob via phone (208) 652-3932.

Contact Information

Primary practice address
23 South 8Th Street Suite 2 Ashton ID 83420
Phone: (208) 652-3932
Fax: (208) 652-3470
Website:
Map and Directions
Authorized official contact:
Name: Comstock, Bob RPH
Phone: (208) 652-3932

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 1279RP Idaho

Profile Details

NPI number 1184727240
LBN Legal business name Robert Leland Comstock Jr
DBA Doing business as Ashton Community Pharmacy
Authorized official Comstock, Bob RPH
Entity Organization
Organization subpart 1 No
Enumeration date Sep 6th, 2006
Last updated Apr 1st, 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 1184727240 NPPES
Idaho MEDICAID 1184727240

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