Craft Pharmacy And Clinic, LLC
Pharmacy, Community/Retail Pharmacy in Pocatello, ID. Organization (NPI-2).
NPI number1023707239
StatusActive
Last updated in NPPESMay 3, 2023
Details
- NPI
- 1023707239
- Entity type
- Organization (NPI-2)
- Legal business name
- Craft Pharmacy And Clinic, LLC
- Organization subpart
- No
- Enumeration date
- May 3, 2023
- Certification date
- May 3, 2023
- Last updated
- May 3, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | – | – | Yes |
Practice location
707 N 12th AvePocatello, ID 83201-4742
Phone 208-705-7812
Mailing address
707 N 12th AvePocatello, ID 83201-4742
Phone 208-233-1719
Authorized official
Toni Cantrell
Pharmacist/Owner
2082331719
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All 17 Community/Retail Pharmacy providers in Pocatello · All 2,770 providers in Pocatello
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