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Contact Information

ST. MARY'S HOSPITAL PHARMACY
701 LEWISTON ST
COTTONWOOD, ID83522
 Phone: 208-962-3251
 Fax: 208-962-3722
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for ST. MARY'S HOSPITAL PHARMACY

NPI Number 1992994024
LBN Legal business name ST. MARY'S HOSPITAL PHARMACY
Authorized official THERESA UPTMOR - (DIRECTOR OF BUSINESS OPERATIONS)
Entity Organization
Organization subpart 1 No
Enumeration date 10/15/2007
Last updated 10/15/2007 - About 19 years ago
Identifiers
ID License # 650HP
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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