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Organization

DJ GARDEN VALLEY PHARMACY

Active
Other names
Medicap Pharmacy 8427
Organization subpart
No

Provider details

NPI number
Authorized official
DEVIN R TRONE PHARMD (PRESIDENT)
(208) 288-1496
Entity
Organization

Contact information

Practice address
284 VILLAGE CIR STE 100, GARDEN VALLEY, ID 83622-8038
(208) 901-8006
(208) 901-8007
Mailing address
2790 W CHERRY LN STE 100, MERIDIAN, ID 83642-1102
(208) 901-8006
(208) 901-8007

Taxonomy

Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary

Other

Enumeration date
07/11/2023
Last updated
07/11/2023
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