Organization
MIKES LTC PHARMACY LLC
Active
Other names
Mike's Long Term Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD MICHAEL MERRILL (OWNER)
(208) 525-8700
Entity
Organization
Contact information
Practice address
180 S HOLMES AVE STE B, IDAHO FALLS, ID 83401-3945
(208) 525-8728
Mailing address
180 S HOLMES AVE STE B, IDAHO FALLS, ID 83401-3945
(208) 525-8728
(208) 525-5254
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
04/10/2025
Last updated
08/03/2026
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