NPI 1891102653

Prescription Pad LLC

Organisation Community/Retail Pharmacy Fruitland, ID

Practice location

Address: 1620 N Whitley Dr, Fruitland, ID 83619-2129
Phone: (208) 452-7075
Fax: (208) 452-7446

Authorised official

Name: Trenton John Jenks
Title: Owner
Phone: (208) 452-7075

Registered specialties (3)

Community/Retail Pharmacy Primary

Suppliers Taxonomy 3336C0003X Licence 36033RP (ID)

Other Pharmacy providers in Idaho →

Pharmacy

Suppliers Taxonomy 333600000X Licence 0002947 (OR)

Compounding Pharmacy

Suppliers Taxonomy 3336C0004X

Registry record

NPI: 1891102653
Entity type: Organization
NPI issued: 14 Jul 2014
Record last updated: 12 Apr 2023

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.