Robert Leland Comstock Jr
Organization Active NPI Community/Retail Pharmacy · Ashton, ID
NPI 1184727240 · NPPES record last updated Apr 1, 2014
Key facts
- NPI
- 1184727240
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 1279RP (ID)
- Legal business name
- ROBERT LELAND COMSTOCK JR
- Practice address
- 23 South 8TH Street
Suite 2
Ashton, ID 83420 - Phone
- (208) 652-3932
- Fax
- (208) 652-3470
- NPI assigned
- Sep 6, 2006
- Organization subpart
- No
Authorized official
- Name
- Bob Comstock, RPH
- Title
- Owner
- Phone
- (208) 652-3932
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 1279RP | ID | Yes |
Addresses
Primary practice location
23 South 8TH Street
Suite 2
Ashton, ID 83420
Mailing address
PO Box 710
Ashton, ID 83420-0710
Phone (208) 652-3932
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184727240 | Medicaid | ID |
Other names
- ASHTON COMMUNITY PHARMACY
Other providers in Ashton, ID
- Julie Painter
- Matthew Joseph Parry
- Precision Chiropractic
- Bradley J Rankin
- Raymond Henry Renouf III
- Tina Scoggins
- Cristine A. Walters
- Kathi Louise Wright
All providers in Ashton, ID · Community/Retail Pharmacy in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.