OrganizationActive
Keymed Inc
NPI 1487698171 · Long Term Care Pharmacy · Pocatello, ID
Provider details
- NPI number
- 1487698171
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- David Mills, President(208) 233-2444
- License
- 1901LS (ID)
Specialties & taxonomies
Suppliers
Suppliers
Practice location
3607 Pole Line Rd
Pocatello, ID 83201-5531
Phone: (208) 233-2444
Fax: (208) 233-3439
Approximate (ZIP-level) locationGet directions
Mailing address
3607 Pole Line Rd
Pocatello, ID 83201-5531
Other names (DBA / former)
- Doing business as
- Snake River Long Term Care Pharmacy
- Doing business as
- Snake River Long Term Care Pharmacy
Registry dates
- Enumerated
- 2006-06-15
- Last updated
- 2022-12-13
- Certified
- 2022-12-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.