Organization
TIMBERLINE PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN MEIER (MANAGER)
(801) 828-7389
Entity
Organization
Contact information
Practice address
4574 N TEN MILE RD STE 110, MERIDIAN, ID 83646-6930
(208) 616-1722
(208) 616-1863
Mailing address
PO BOX 171145, SALT LAKE CITY, UT 84117-1145
(801) 828-7389
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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