# CARIBOU MEDICAL CENTER, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Caribou Medical Center, Caribou Medical Center Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184752347
- **Authorized official:** CHRISTINA THOMAS (CEO)
- **Authorized official phone:** (208) 547-2765

## Contact information

- **Practice address:** 300 S 3RD W, SODA SPRINGS, ID 83276-1559
- **Practice address phone:** (208) 547-3341
- **Practice address fax:** (208) 547-2790
- **Mailing address:** 300 S 3RD W, SODA SPRINGS, ID 83276-1559
- **Mailing address phone:** (208) 547-3341
- **Mailing address fax:** (208) 547-2790

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336I0012X | Institutional Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 03/01/2007
- **Last updated:** 02/08/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1307520 | NABP NUMBER | ID |
| 01 | — | 62439HP | IDAHO STATE BOARD OF PHARMACY | ID |