Organization
G AND R INC
Active
Other names
Medicap Pharmacy 8435
Organization subpart
No
Provider details
NPI number
Authorized official
DEVIN R TRONE PHARMD (PRESIDENT)
(208) 288-1496
Entity
Organization
Contact information
Practice address
217 MAIN ST, NYSSA, OR 97913-3843
(541) 372-2222
(541) 372-2928
Mailing address
2790 W CHERRY LN STE 100, MERIDIAN, ID 83642-1102
(208) 288-1496
(208) 288-1812
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
05/10/2023
Last updated
05/31/2023
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