Organization
MEDNOW INC
Active
Other names
MedNow Eagle Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BILL BECK RPH (PRESIDENT)
(208) 895-1957
Entity
Organization
Contact information
Practice address
323 E RIVERSIDE DR, SUITE 120, EAGLE, ID 83616-6864
(208) 938-2136
(208) 938-2137
Mailing address
323 E RIVERSIDE DR, SUITE 120, EAGLE, ID 83616-6864
(208) 938-2136
(208) 938-2137
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
1123CP
ID
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
1123CP
ID
333600000X
Pharmacy
1123CP
ID
3336C0003X
Community/Retail Pharmacy
Primary
1123CP
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010013833
REGENCE BS & HEALTH SENSE
ID
05
—
002582900
—
ID
01
—
002583200
MEDICAID PROFESSIONAL
ID
01
—
85233
BLUE CROSS& TRUE BLUE
ID
Enumeration date
08/19/2006
Last updated
03/07/2023
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