NPI age
3 years
Enumerated 2022-11-15
● Active Type 2 · Organization
Idaho State University
Idaho State University is 1 of 55 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Rock
Clinics Director Of Operations
Last NPPES update
2023-06-14
Source: monthly bulk 2026-05
How this organization compares
Across 55 active clinic/center providers in Idaho.
NPI age
3 years
↓ 6 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 12% of peers with subspecialties
NPI lifetime · 2022 → 2026
2022-11Enumerated in NPPES
2022
2026
Where they practice
Primary practice location
4914 Yellowstone Ave Ste B
Chubbuck, ID 832022332
Mailing address
990 S 8th Ave Stop 8158
Pocatello, ID 832014982
Authorized official
Cynthia Lee Rock
Clinics Director Of Operations
📞 2083731743
Specialties
-
Clinic/Center PrimaryDefinition to come...
-
PharmacistPharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
ISU Pharmacist Clinic
-
ISU Pharmacist Clinic
Practice context
Single-site organization. Only one practice location on file.
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