Pharmacy Medical Solutions Llc | |
2790 W Cherry Ln Ste 150 Meridian ID 83642-1106 | |
(208) 992-1496 | |
Not Available |
Full Name | Pharmacy Medical Solutions Llc |
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Speciality | Family Medicine |
Location | 2790 W Cherry Ln Ste 150, Meridian, Idaho |
Authorized Official Name and Position | Devin Trone (OWNER/AO) |
Authorized Official Contact | 2089921496 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pharmacy Medical Solutions Llc 2790 W Cherry Ln Ste 150 Meridian ID 83642-1106 Ph: () - | Pharmacy Medical Solutions Llc 2790 W Cherry Ln Ste 150 Meridian ID 83642-1106 Ph: (208) 992-1496 |
NPI Number | 1891484598 |
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Provider Enumeration Date | 05/08/2023 |
Last Update Date | 10/27/2023 |
Medicare PECOS PAC ID | 7315307055 |
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Medicare Enrollment ID | O20230713001272 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891484598 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Joel Jones |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1194783472 PECOS PAC ID: 7517943327 Enrollment ID: I20230126002891 |
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