National Provider Identifier Database

MARKETIME DRUG OF MOSCOW INC
Pharmacy

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.


Contact Information

MARKETIME DRUG OF MOSCOW INC
872 TROY RD STE 120
MOSCOW, ID83843-5037
Phone: 208-882-7541
Fax: 208-883-4716
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X
Long Term Care Pharmacy 3336L0003X

* Indicates primary specialty

NPI Profile & details for MARKETIME DRUG OF MOSCOW INC

NPI Number 1750498044
Legal business name
LBN
MARKETIME DRUG OF MOSCOW INC
Authorized official ERIK NELSON - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 08/24/2006
Last updated 01/04/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • ID License #: 217CP
  • ID Medicaid: 0023395
  • ID Other: 0023396 MEDICAID DME
  • WA Other: 6021422 MEDICAID

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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