Organization
MEDNOW, INC
Active
Other names
MedNow Pharmacy #4
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BILL BECK (PRESIDENT/CEO)
(208) 895-1957
Entity
Organization
Contact information
Practice address
4400 E FLAMINGO AVE, NAMPA, ID 83687-9203
(208) 288-4660
(208) 288-4664
Mailing address
4400 E FLAMINGO AVE, NAMPA, ID 83687-9203
(208) 288-4660
(208) 288-4664
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
1392CP
ID
333600000X
Pharmacy
1392CP
ID
3336C0003X
Community/Retail Pharmacy
Primary
1392CP
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010013823
REGENCE BLUE SHIELD & HEA
ID
05
—
158212
—
OR
05
—
805324400
—
ID
01
—
805810000
MEDICAID PROFESSIONAL
ID
01
—
85233
BC OF IDAHO AND TRUE BLUE
ID
Enumeration date
08/19/2006
Last updated
03/07/2023
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