A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the...
ID license #1392CPtaxonomy 3336C0003X
Durable Medical Equipment & Medical Supplies
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
ID license #1392CPtaxonomy 332B00000X
Pharmacy
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally...
ID license #1392CPtaxonomy 333600000X
Identifiers
Type
Value
Notes
01 (ID)
805810000
MEDICAID PROFESSIONAL
05 (OR)
158212
01 (ID)
000010013823
REGENCE BLUE SHIELD & HEA
01 (ID)
85233
BC OF IDAHO AND TRUE BLUE
05 (ID)
805324400
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
MedNow Pharmacy #4
Type code 3recorded 2006-08-19
Practice context
Multi-provider organization.
17 individual providers on file at this primary address.
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