NPI 1912307885
Mederx, LLC
Practice location
- Address
- 922 W Colchester Dr, Eagle, ID 83616-5892
- Phone
- (208) 938-5459
- Mailing address
- PO Box 2614, Eagle, ID 83616-9121
Authorised official
- Name
- Alan Barkan
- Title
- President
- Phone
- (208) 938-5459
Registered specialties
Non-Pharmacy Dispensing Site
Primary
Registry record
- NPI
- 1912307885
- Entity type
- Organization
- NPI issued
- 28 Aug 2014
- Record last updated
- 28 Aug 2014
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.