Organization
BEAR LAKE COUNTY MEMORIAL HOSPITAL
Active
Other names
BEAR LAKE MEMORIAL HOSPITAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYNETTE DAWN WILLIAMS RPH (DIRECTOR OF PHARMACY)
(208) 847-1630
Entity
Organization
Contact information
Practice address
164 S 5TH ST, MONTPELIER, ID 83254-1557
(208) 847-1630
(208) 847-4475
Mailing address
164 S 5TH ST, MONTPELIER, ID 83254-1557
(208) 847-1630
(208) 847-4475
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
HP555
ID
3336I0012X
Institutional Pharmacy
555HP
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002852700
—
ID
01
—
555HP
HOSPITAL PHARMACY
ID
Enumeration date
02/06/2007
Last updated
10/07/2011
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