Organization
RITE AID
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN RYAN BRONSELL PHARMD (STAFF PHARMACIST)
(208) 524-4480
Entity
Organization
Contact information
Practice address
1745 W BROADWAY ST, IDAHO FALLS, ID 83402-3045
(208) 524-4480
Mailing address
1745 W BROADWAY ST, IDAHO FALLS, ID 83402-3045
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
P6096
ID
Other
Enumeration date
10/13/2007
Last updated
10/13/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up