Organization
R & J PHARMACY, INC
Active
Other names
Pharmacy Shop Express
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT N MILLER PHARM-D (PRESIDENT)
(208) 785-3510
Entity
Organization
Contact information
Practice address
1441 PARKWAY DR, BLACKFOOT, ID 83221-1667
(208) 684-7011
Mailing address
69 N PINE ST, BLACKFOOT, ID 83221-2053
(208) 785-3510
(208) 785-7317
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
FP3773567
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FP3773567
IDAHO BOARD OF PHARMACY
ID
Enumeration date
04/05/2013
Last updated
04/05/2013
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