NPI 1013559269
Timberline Pharmacy
Practice location
- Address
- 4574 N Ten Mile Rd STE 110, Meridian, ID 83646-6930
- Phone
- (208) 616-1722
- Fax
- (208) 616-1863
- Mailing address
- PO Box 171145, Salt Lake City, UT 84117-1145
Authorised official
- Name
- Justin Meier
- Title
- Manager
- Phone
- (801) 828-7389
Registered specialties
Community/Retail Pharmacy
Primary
Registry record
- NPI
- 1013559269
- Entity type
- Organization
- NPI issued
- 9 Oct 2019
- Record last updated
- 9 Oct 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.