NPI 1144890476
Mprx Caldwell INC
Practice location
- Address
- 4618 Beacon Ln STE 100, Caldwell, ID 83605-4879
- Phone
- (208) 204-5900
- Fax
- (208) 204-5901
- Mailing address
- 2790 W Cherry Ln STE 100, Meridian, ID 83642-1102
Authorised official
- Name
- Devin Trone
- Title
- President/Pharmd
- Phone
- (208) 571-6434
Registered specialties (4)
Community/Retail Pharmacy
Primary
Pharmacy
Long Term Care Pharmacy
Specialty Pharmacy
Registry record
- NPI
- 1144890476
- Entity type
- Organization
- NPI issued
- 29 Jun 2021
- Record last updated
- 8 Jan 2025
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.