Organization
INCLUSIVE CARE LLC
Active
Other names
Inclusive Care Clinic Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDRA LOUISE HEYNEMAN PHARMD (OWNER)
(208) 913-2273
Entity
Organization
Contact information
Practice address
407 E CHUBBUCK RD, CHUBBUCK, ID 83202
(208) 913-2273
(208) 567-5615
Mailing address
PO BOX 2851, POCATELLO, ID 83206-2851
(208) 913-2273
(208) 567-5615
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
05/16/2024
Last updated
08/29/2024
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