Organization
BMH, INC
Active
Other names
Bingham Healthcare Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB ERICKSON (CEO)
(208) 785-3801
Entity
Organization
Contact information
Practice address
1151 HOSPITAL WAY BLDG D, POCATELLO, ID 83201-5091
(208) 232-3252
(208) 785-9493
Mailing address
1151 HOSPITAL WAY BLDG D, POCATELLO, ID 83201-5091
(208) 232-3252
(208) 785-9493
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4264173
STATE LICENSE
ID
Enumeration date
10/02/2024
Last updated
10/02/2024
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