# G AND R INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Medicap Pharmacy \#8435
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558359372
- **Authorized official:** MR. DEVIN R TRONE PHARMD (OWNER/PHARMACIST)
- **Authorized official phone:** (208) 288-1496

## Contact information

- **Practice address:** 217 MAIN ST, NYSSA, OR 97913-3843
- **Practice address phone:** (541) 372-2222
- **Practice address fax:** (541) 372-2928
- **Mailing address:** 2790 W CHERRY LN STE 100, MERIDIAN, ID 83642-1102
- **Mailing address phone:** (541) 372-2222
- **Mailing address fax:** (541) 372-2928

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | — |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 10/06/2005
- **Last updated:** 01/08/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 207852 | — | OR |