Organization
ST. MARY'S HOSPITAL PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. THERESA A UPTMOR (DIRECTOR OF BUSINESS OPERATIONS)
(208) 962-2301
Entity
Organization
Contact information
Practice address
701 LEWISTON ST, COTTONWOOD, ID 83522
(208) 962-3251
(208) 962-3722
Mailing address
PO BOX 137, COTTONWOOD, ID 83522-0137
(208) 962-3251
(208) 962-3722
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
650HP
ID
Other
Enumeration date
10/15/2007
Last updated
10/15/2007
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