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Contact Information

MARKETIME DRUG OF MOSCOW INC
872 TROY RD STE 120
MOSCOW, ID83843-5037
 Phone: 208-882-7541
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for MARKETIME DRUG OF MOSCOW INC

NPI Number 1164010229
LBN Legal business name MARKETIME DRUG OF MOSCOW INC
Authorized official ERIK NELSON - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/05/2021
Last updated 04/01/2022 - About 4 years ago
Identifiers
ID Medicaid 0023396
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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