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Mike'S Ltc Pharmacy, LLC — NPI 1972398063, Idaho Falls, ID | NPI Central

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NPI 1972398063

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Mike'S Ltc Pharmacy, LLC

NPI 1972398063 · Long Term Care Pharmacy · Idaho Falls, ID

Provider details

NPI number: 1972398063
Entity type: Organization
Primary specialty: Long Term Care PharmacySuppliers
Organization subpart: No
Authorized official: Justin Merrill, Owner(208) 525-8728

Specialties & taxonomies

Long Term Care PharmacyPrimary3336L0003X
Suppliers

Practice location

180 S Holmes Ave Ste B

Idaho Falls, ID 83401-3945

Phone: (208) 525-8728

Approximate (ZIP-level) locationGet directions

More ID providers

Mailing address

180 S Holmes Ave Ste B

Idaho Falls, ID 83401-3945

Other names (DBA / former)

Doing business as: Mike'S Long Term Care Pharmacy

Registry dates

Enumerated: 2025-04-10
Last updated: 2025-10-08
Certified: 2025-10-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.