BMH Inc.
Organization Active NPI Community/Retail Pharmacy · Blackfoot, ID
NPI 1669615845 · NPPES record last updated Dec 17, 2019
Key facts
- NPI
- 1669615845
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- BMH INC.
- Practice address
- 98 Poplar St
Mob Building
Blackfoot, ID 83221-1758 - Phone
- (208) 782-2990
- Fax
- (208) 792-2931
- NPI assigned
- Apr 17, 2009
- Organization subpart
- No
Authorized official
- Name
- Jacob Erickson
- Title
- Ceo
- Phone
- (208) 785-3801
Corporate family (same tax ID) 26
National Provider Directory
- Tax ID family
- BMH Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
98 Poplar St
Mob Building
Blackfoot, ID 83221-1758
Mailing address
98 Poplar St
Mob Building
Blackfoot, ID 83221-1758
Phone (208) 782-2990
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1308205 | Other | ID | NCPDP |
| 2321CP | Other | ID | IDAHO BOARD OF PHARMACY |
Other names
- medical plaza pharmacy
Other providers in Blackfoot, ID
All providers in Blackfoot, 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 Dec 17, 2019. 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.