Organization
BMH INC.
Active
Other names
medical plaza pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB ERICKSON (CEO)
(208) 785-3801
Entity
Organization
Contact information
Practice address
98 POPLAR ST, MOB BUILDING, BLACKFOOT, ID 83221-1758
(208) 782-2990
(208) 792-2931
Mailing address
98 POPLAR ST, MOB BUILDING, BLACKFOOT, ID 83221-1758
(208) 782-2990
(208) 792-2931
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1308205
NCPDP
ID
01
—
2321CP
IDAHO BOARD OF PHARMACY
ID
Enumeration date
04/17/2009
Last updated
12/17/2019
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