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General NPI Number Information
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NPI Number | 1740391762
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Entity Type | Organization
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Legal Business Name | WATKINS PHARMACY INC
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 01/08/2025
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Provider Practice Location Address
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Address Line | 220 S MAIN ST
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City | CASCADE
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State | ID
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Zip | 83611
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Country | US
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Telephone | 208-382-4204
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Fax | 208-382-6362
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Provider Business Mailing Address
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Address Line | 2790 W CHERRY LN STE 100
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City | MERIDIAN
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State | ID
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Zip | 83642-1102
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Country | US
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Telephone | 208-382-4204
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Fax | 208-382-6362
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Authorized Official
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Title or Position | PRESIDENT
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Name | DEVIN R TRONE
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Credential | PHARMD
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Telephone | 208-382-4204
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336L0003X
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Taxonomy Name | Long Term Care Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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