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Organization
MIKES LTC PHARMACY LLC
Active
Organization
MIKES LTC PHARMACY LLC
Active
Other names
Mike's Long Term Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD MICHAEL MERRILL (OWNER)
(208) 525-8700
Entity
Organization
Contact information
Practice address
180 S HOLMES AVE STE B, IDAHO FALLS, ID 83401-3945
(208) 525-8728
Mailing address
180 S HOLMES AVE STE B, IDAHO FALLS, ID 83401-3945
(208) 525-8728
(208) 525-5254
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Enumeration date
04/10/2025
Last updated
08/03/2026
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