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Organization
BMH INC
Active
Organization
BMH INC
Active
Other names
BINGHAM MEMORIAL HOSPITAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
WADE FLOWERS PHARM.D. (DIRECTOR OF PHARMACY)
(208) 785-3866
Entity
Organization
Contact information
Practice address
98 POPLAR ST, BLACKFOOT, ID 83221-1758
(208) 782-3955
(208) 782-3709
Mailing address
98 POPLAR ST, BLACKFOOT, ID 83221-1758
(208) 782-3955
(208) 782-3709
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336C0002X
Clinic Pharmacy
—
NULL
3336I0012X
Institutional Pharmacy
Primary
391HP
ID
3336L0003X
Long Term Care Pharmacy
—
NULL
3336S0011X
Specialty Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2020444
PK
—
05
—
807790700
—
ID
Enumeration date
09/14/2005
Last updated
12/16/2019
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