Organization
WATKINS PHARMACY INC
Active
Other names
Medicap Pharmacy 8440
Organization subpart
No
Provider details
NPI number
Authorized official
DEVIN R TRONE PHARMD (PRESIDENT)
(208) 382-4204
Entity
Organization
Contact information
Practice address
220 S MAIN ST, CASCADE, ID 83611
(208) 382-4204
(208) 382-6362
Mailing address
2790 W CHERRY LN STE 100, MERIDIAN, ID 83642-1102
(208) 382-4204
(208) 382-6362
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1300780
NCPDP
—
05
—
1740391762
—
ID
01
—
RDO72703
IDAHO BOARD OF PHARMACY
ID
Enumeration date
08/31/2006
Last updated
01/08/2025
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