OrganizationActive
Gem State Pharmacy LLC
NPI 1730926080 · Compounding Pharmacy · Twin Falls, ID
Provider details
- NPI number
- 1730926080
- Entity type
- Organization
- Primary specialty
- Compounding PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Logan Weaver, Pharmacist in Charge(208) 329-6104
Specialties & taxonomies
Suppliers
Practice location
1437 Park View Dr # 200
Twin Falls, ID 83301-3250
Phone: (208) 329-6104
Fax: (208) 609-6290
Approximate (ZIP-level) locationGet directions
Mailing address
1516 W Blue Downs St
Meridian, ID 83642-8496
Registry dates
- Enumerated
- 2024-07-12
- Last updated
- 2026-04-14
- Certified
- 2026-04-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.