Organization
JOHNS MEDIC PHARMACY
Active
Other names
JOHNS MEDIC PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ANDERSON (PRESIDENT OWNER PHARMACIST)
(208) 466-2431
Entity
Organization
Contact information
Practice address
523 11TH AVE N, NAMPA, ID 83687-3442
(208) 466-2431
(208) 466-3249
Mailing address
523 11TH AVE N, NAMPA, ID 83687-3442
(208) 466-2431
(208) 466-3249
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
679RP
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2020580
PK
—
05
—
804004100
—
ID
Enumeration date
09/30/2006
Last updated
09/04/2013
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