Organization
CARIBOU MEDICAL CENTER, INC
Active
Other names
Caribou Medical Center, Caribou Medical Center Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA THOMAS (CEO)
(208) 547-2765
Entity
Organization
Contact information
Practice address
300 S 3RD W, SODA SPRINGS, ID 83276-1559
(208) 547-3341
(208) 547-2790
Mailing address
300 S 3RD W, SODA SPRINGS, ID 83276-1559
(208) 547-3341
(208) 547-2790
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1307520
NABP NUMBER
ID
01
—
62439HP
IDAHO STATE BOARD OF PHARMACY
ID
Enumeration date
03/01/2007
Last updated
02/08/2022
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