Organization
DJ GARDEN VALLEY PHARMACY INC
Active
Other names
Medicap Pharmacy #8427
Organization subpart
No
Provider details
NPI number
Authorized official
DEVIN TRONE (PRESIDENT/PHARMD)
(208) 901-8006
Entity
Organization
Contact information
Practice address
284 VILLAGE CIR STE 100, GARDEN VALLEY, ID 83622-8038
(208) 901-8006
(208) 901-8007
Mailing address
2790 W CHERRY LN STE 100, MERIDIAN, ID 83642-1102
(208) 901-8006
(208) 901-8007
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
07/19/2017
Last updated
01/08/2025
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