Organization
MPRX CALDWELL INC
Active
Other names
Medicap Pharmacy #8438
Organization subpart
No
Provider details
NPI number
Authorized official
DEVIN TRONE (PRESIDENT/PHARMD)
(208) 571-6434
Entity
Organization
Contact information
Practice address
4618 BEACON LN STE 100, CALDWELL, ID 83605-4879
(208) 204-5900
(208) 204-5901
Mailing address
2790 W CHERRY LN STE 100, MERIDIAN, ID 83642-1102
(208) 288-1496
(208) 288-1812
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
06/29/2021
Last updated
01/08/2025
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