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2730 E Sunnyside Rd Ammon ID 83406-7547 | |
| (208) 522-3257 | |
| (208) 522-3227 |
| Full Name | |
|---|---|
| Speciality | Pharmacy - Community/retail Pharmacy |
| Location | 2730 E Sunnyside Rd, Ammon, Idaho |
| Authorized Official Name and Position | Marcus C Hurst (PHARMACY SUPERVISOR) |
| Authorized Official Contact | 2087459201 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
182 N State St Rigby ID 83442-1444 Ph: (208) 745-9201 | 2730 E Sunnyside Rd Ammon ID 83406-7547 Ph: (208) 522-3257 |
| NPI Number | 1336517861 |
|---|---|
| Provider Enumeration Date | 09/15/2015 |
| Last Update Date | 11/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336517861 | NPI | - | NPPES |
| 1336517861 | Medicaid | ID | |
| 1309310 | Other | NCPDP | |
| 1912011 | Other | ID | MEDICARE NORIDIAN |
Milestone Medical Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1499 Curlew Dr, Ammon, ID 83406 Phone: 208-529-3342 Fax: 208-529-6631 | |
Root Cause Integrative Medicine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1547 S Midway Ave, Suite B, Ammon, ID 83406 Phone: 208-497-0429 Fax: 208-497-0430 | |
Bore Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1498 Midway Ave Ste 2, Ammon, ID 83406 Phone: 208-529-9930 | |