Healthcare Provider Details

I. General information

NPI: 1881288074
Provider Name (Legal Business Name): FAMILY HEALTH SERVICES PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2021
Last Update Date: 06/09/2023
Certification Date: 06/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

725 FAIR ST
BUHL ID
83316-6442
US

IV. Provider business mailing address

794 EASTLAND DR
TWIN FALLS ID
83301-6856
US

V. Phone/Fax

Practice location:
  • Phone: 208-732-7128
  • Fax: 208-933-4297
Mailing address:
  • Phone: 208-734-3312
  • Fax: 208-933-4297

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: AARON JAMES HOUSTON
Title or Position: CEO
Credential:
Phone: 208-737-6708