Organization
BMH INC
Active
Other names
BINGHAM MEMORIAL HOSPITAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
WADE FLOWERS PHARM.D. (DIRECTOR OF PHARMACY)
(208) 785-3866
Entity
Organization
Contact information
Practice address
98 POPLAR ST, BLACKFOOT, ID 83221-1758
(208) 782-3955
(208) 782-3709
Mailing address
98 POPLAR ST, BLACKFOOT, ID 83221-1758
(208) 782-3955
(208) 782-3709
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336I0012X
Institutional Pharmacy
Primary
391HP
ID
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2020444
PK
—
05
—
807790700
—
ID
Enumeration date
09/14/2005
Last updated
12/16/2019
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