Organization
SANDPOINT DRUG INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT ALLEN PORTER R.PH.,PHARM.D. (PHARMACIST/MANAGER)
(208) 263-1408
Entity
Organization
Contact information
Practice address
604 N FIFTH AVE, SANDPOINT, ID 83864-1520
(208) 263-1408
(208) 265-8784
Mailing address
604 N FIFTH AVE, SANDPOINT, ID 83864-1520
(208) 263-1408
(208) 265-8784
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0024047
—
ID
01
—
0211370001
MEDICARE DME PTAN
—
01
—
19110281
MEDICARE MASS IMMUNIZATION PTAN
—
01
—
20019353
MEDICARE PHARMACY PTAN
—
Enumeration date
10/03/2005
Last updated
05/13/2025
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