Local City Search for Medical Equipment Suppliers PRESCRIPTION CENTER, LLC
Managed Care Organization Pharmacy
Idaho Falls, Idaho
Provider NPI: 1124021456
Organization Information:Organization Name: PRESCRIPTION CENTER, LLC
Practice Location:
2252 CORONADO ST IDAHO FALLS, ID 83404 US
Tel: 208-523-3360 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
2252 CORONADO ST IDAHO FALLS, ID 83404 US
Tel: 208-523-3360 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 332B00000X | Suppliers Durable Medical Equipment & Medical Supplies | ||
| N | 333600000X | Suppliers Pharmacy | ||
| N | 3336C0004X | Suppliers Pharmacy | ||
| N | 3336M0003X | Suppliers Pharmacy | ||
| N | 3336S0011X | Suppliers Pharmacy | ||
| Y | 3336C0003X | Suppliers Pharmacy |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 002296800 | ID | 05 | |
| 002296700 | ID | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
