Organization
STOKES PHARMACY,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT DOWIES PHARMD (PHARMACIST IN CHARGE)
(208) 878-7455
Entity
Organization
Contact information
Practice address
1310 POMERELLE AVE, BURLEY, ID 83318-2048
(208) 878-7455
(208) 878-7456
Mailing address
1310 POMERELLE AVE, BURLEY, ID 83318-2048
(208) 878-7455
(208) 878-7456
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
38889RP
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38889RP
PHARMACY REGISTRATION
ID
Enumeration date
06/10/2015
Last updated
11/19/2015
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