Organization
FAMILY HEALTH SERVICES PHARMACY
Active
Parent organization
FAMILY HEALTH SERVICES CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAMILY HEALTH SERVICES CORPORATION
Authorized official
STACEY BLACKWOOD (CREDENTIALING SPECIALIST)
(208) 737-6718
Entity
Organization
Contact information
Practice address
218 W. NEZ PERCE, JEROME, ID 83338
(208) 650-7946
(208) 324-3323
Mailing address
794 EASTLAND DR, TWIN FALLS, ID 83301-6856
(208) 737-6718
(208) 734-5036
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235279217
NPI
ID
Enumeration date
11/03/2020
Last updated
06/10/2021
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