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Organization
GEM STATE WELLNESS PHARMACY
Active
Organization
GEM STATE WELLNESS PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOGAN WEAVER PHARMD (MANAGER/PHARMACIST)
(208) 329-8563
Entity
Organization
Contact information
Practice address
247 RIVER VISTA PL STE 101, TWIN FALLS, ID 83301-3019
(208) 329-8563
(208) 510-6627
Mailing address
1516 W BLUE DOWNS ST, MERIDIAN, ID 83642-8496
(208) 329-8563
(208) 510-6627
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Enumeration date
02/12/2026
Last updated
02/12/2026
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