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Contact Information

SALMON PHARMACY, LLC
309 MAIN STREET
SALMON, ID83467
 Phone: 208-742-3784
 Fax: 208-742-6363
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for SALMON PHARMACY, LLC

NPI # 1013540814
LBN Legal business name SALMON PHARMACY, LLC
Authorized official ERIC ANDERSON - (OWNER/PHARMACIST)
Entity Organization
Organization subpart 1 No
Enumeration date 02/20/2020
Last updated 07/02/2020 - About 6 years ago
Identifiers
ID Medicaid 1013540814
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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