Organization
J & S ENTERPRISES INC
Active
Other names
MEDICINE SHOPPE #517
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES R STEVENSON RPH (OWNER/PHARMACIST)
(208) 356-4481
Entity
Organization
Contact information
Practice address
167 W MAIN ST # 1, REXBURG, ID 83440-1826
(208) 356-4481
(208) 356-6915
Mailing address
167 W MAIN ST # 1, REXBURG, ID 83440-1826
(208) 356-4481
(208) 356-6915
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
1572CP
ID
333600000X
Pharmacy
1572CP
ID
3336C0003X
Community/Retail Pharmacy
Primary
1572CP
ID
3336H0001X
Home Infusion Therapy Pharmacy
1572CP
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002559200
—
ID
05
—
002559300
—
ID
01
—
1303964
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/20/2006
Last updated
03/07/2023
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