Organization
IDAHO STATE UNIVERSITY
Active
Other names
ISU Bengal Pharmacy Meridian
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA LEE ROCK (CLINICS DIRECTOR OF OPERATIONS)
(208) 373-1743
Entity
Organization
Contact information
Practice address
1311 E CENTRAL DR, MERIDIAN, ID 83642-7991
(208) 373-1734
(833) 499-1813
Mailing address
1311 E CENTRAL DR, MERIDIAN, ID 83642-7991
(208) 373-1734
(833) 499-1813
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
—
—
Other
Enumeration date
10/12/2022
Last updated
10/12/2022
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