Organization
LEGRANDERX PHARMACY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLENE REBECCA HOIT PHARMD (PHARMACIST IN CHARGE)
(509) 953-6863
Entity
Organization
Contact information
Practice address
343 E 4TH N STE 126, REXBURG, ID 83440-6004
(855) 534-7263
(208) 421-9792
Mailing address
343 E 4TH N STE 126, REXBURG, ID 83440-6004
(855) 534-7263
(208) 421-9792
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
05/30/2019
Last updated
05/30/2019
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