Organization
G AND R INC
Active
Other names
Medicap Pharmacy #8435
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEVIN R TRONE PHARMD (OWNER/PHARMACIST)
(208) 288-1496
Entity
Organization
Contact information
Practice address
217 MAIN ST, NYSSA, OR 97913-3843
(541) 372-2222
(541) 372-2928
Mailing address
2790 W CHERRY LN STE 100, MERIDIAN, ID 83642-1102
(541) 372-2222
(541) 372-2928
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207852
—
OR
Enumeration date
10/06/2005
Last updated
01/08/2025
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