Provider Demographics
NPI:1265424105
Name:FORCE, REX W (PHARMD)
Entity type:Individual
Prefix:DR
First Name:REX
Middle Name:W
Last Name:FORCE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ISU BOX 8357
Mailing Address - Street 2:465 MEMORIAL DRIVE
Mailing Address - City:POCATELLO
Mailing Address - State:ID
Mailing Address - Zip Code:83209-0001
Mailing Address - Country:US
Mailing Address - Phone:208-282-4508
Mailing Address - Fax:208-282-4818
Practice Address - Street 1:ISU BOX 8357
Practice Address - Street 2:465 MEMORIAL DRIVE
Practice Address - City:POCATELLO
Practice Address - State:ID
Practice Address - Zip Code:83209-0001
Practice Address - Country:US
Practice Address - Phone:208-282-4508
Practice Address - Fax:208-282-4818
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDP50071835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy