Community Council of Idaho, Inc
Organization Active NPI Community/Retail Pharmacy · Idaho Falls, ID
NPI 1700542255 · NPPES record last updated Apr 4, 2023
Key facts
- NPI
- 1700542255
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- COMMUNITY COUNCIL OF IDAHO, INC
- Practice address
- 2100 Alan Street
Idaho Falls, ID 83404 - Phone
- (208) 528-7655
- NPI assigned
- Nov 9, 2021
- Organization subpart
- Yes
- Parent organization (as reported)
- COMMUNITY COUNCIL OF IDAHO, INC
Authorized official
- Name
- Troy Coulson, PHARMD
- Title
- Pharmacy Director
- Phone
- (208) 470-7979
Corporate family (same tax ID) 7
National Provider Directory
- Tax ID family
- Salud Y Provecho
- Part of
- Salud Y Provecho
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
2100 Alan Street
Idaho Falls, ID 83404
Mailing address
2100 Alan St
Idaho Falls, ID 83404-5801
Phone (208) 470-7979
Other names
- Community Family Clinic Pharmacy
Other providers in Idaho Falls, ID
- Community Care West Side LLC
- Community Care, PLLC
- Community Council of Idaho Inc
- Community Council of Idaho Inc
- Community Council of Idaho, Inc
- Community Council of Idaho, Inc
- Community Nursing Service
- Community PCS PLLC
- Compassion Counseling PLLC
- Compound Preferred LLC
All providers in Idaho Falls, 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 4, 2023. 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.