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Organization
INCLUSIVE CARE LLC
Active
Organization
INCLUSIVE CARE LLC
Active
Other names
Inclusive Care Clinic Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDRA LOUISE HEYNEMAN PHARMD (OWNER)
(208) 913-2273
Entity
Organization
Contact information
Practice address
407 E CHUBBUCK RD, CHUBBUCK, ID 83202
(208) 913-2273
(208) 567-5615
Mailing address
PO BOX 2851, POCATELLO, ID 83206-2851
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
—
NULL
Other
Enumeration date
01/16/2024
Last updated
07/24/2024
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