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Contact Information

MAAG PRESCRIPTION CENTER LLC
333 W CENTER ST
POCATELLO, ID83204-3243
 Phone: 208-233-2063
 Fax: 208-233-6158
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for MAAG PRESCRIPTION CENTER LLC

NPI # 1134783202
LBN Legal business name MAAG PRESCRIPTION CENTER LLC
Authorized official KATHLEEN MAAG - (BOARD OF DIRECTION, VP, TREASURER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/24/2019
Last updated 04/24/2019 - About 7 years ago
Identifiers
ID Medicaid 002488900
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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