Organization
MPRX CALDWELL INC
Active
Other names
Medicap Pharmacy 8438
Organization subpart
No
Provider details
NPI number
Authorized official
DEVIN R TRONE PHARMD (PRESIDENT)
(208) 288-1496
Entity
Organization
Contact information
Practice address
4618 BEACON LN STE 100, CALDWELL, ID 83605-4879
(208) 204-5900
(208) 204-5901
Mailing address
2790 W CHERRY LN STE 100, MERIDIAN, ID 83642-1102
(208) 204-5900
(208) 204-5901
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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