Organization
JADEITE RX INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW SMITH (PRESIDENT)
(208) 964-9712
Entity
Organization
Contact information
Practice address
457 E BURDOCK LOOP, HAYDEN, ID 83835-7895
(208) 964-9712
Mailing address
457 E BURDOCK LOOP, HAYDEN, ID 83835-7895
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
Other
Enumeration date
02/24/2026
Last updated
02/24/2026
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