NPI age
19 years
Enumerated 2006-07-14
Across 397 active pharmacy providers in Idaho.
2 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 8C451 | BLUE CROSS OF IDAHO ID # |
| 01 (ID) | 000010013849 | BLUE CROSS OF IDAHO ID # |
| 05 (ID) | 002631600 |
Multi-provider organization. 2 individual providers on file at this primary address.
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