Organization
R & J PHARMACY, INC.
Active
Other names
Pharmacy Shop
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT NATHAN MILLER PHARMD (PRESIDENT)
(208) 785-3510
Entity
Organization
Contact information
Practice address
69 N PINE ST, BLACKFOOT, ID 83221-2053
(208) 785-3510
(208) 785-7317
Mailing address
69 N PINE ST, BLACKFOOT, ID 83221-2053
(208) 785-3510
(208) 785-7317
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
1907CP
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1300514/8L386
BLUE CROSS
ID
05
—
807034200
—
ID
05
—
807071700
—
ID
Enumeration date
08/02/2005
Last updated
05/22/2008
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