Organization
FAMILY HEALTH SERVICES CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY BLACKWOOD (CREDENTIALING)
(208) 737-6718
Entity
Organization
Contact information
Practice address
621 N MAIN ST, BELLEVUE, ID 83313-5093
(208) 737-6718
(208) 734-5036
Mailing address
794 EASTLAND DR, TWIN FALLS, ID 83301-6856
(208) 734-3312
(208) 734-5036
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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