Organization
MINIDOKA MEMORIAL HOSPITAL
Active
Other names
Minidoka Memorial Hospital Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS J MURPHY (ADMINISTRATOR)
(208) 436-8141
Entity
Organization
Contact information
Practice address
1224 8TH ST, RUPERT, ID 83350-1527
(208) 436-0481
(208) 436-6038
Mailing address
1224 8TH ST, RUPERT, ID 83350-1527
(208) 436-0481
(208) 436-6038
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
379HP
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1301895
NABP (NCPDP)
—
01
—
379HP
STATE BOARD OF PHARMACY
ID
05
—
M0023364
—
ID
Enumeration date
12/21/2006
Last updated
03/07/2023
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