Provider Demographics
NPI:1447666128
Name:HURST, MARCUS C (PHARMD)
Entity type:Individual
Prefix:DR
First Name:MARCUS
Middle Name:C
Last Name:HURST
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 1:182 N STATE ST
Mailing Address - Street 2:
Mailing Address - City:RIGBY
Mailing Address - State:ID
Mailing Address - Zip Code:83442-1444
Mailing Address - Country:US
Mailing Address - Phone:208-745-9201
Mailing Address - Fax:208-745-7801
Practice Address - Street 1:160 S CLARK ST
Practice Address - Street 2:
Practice Address - City:RIGBY
Practice Address - State:ID
Practice Address - Zip Code:83442-1407
Practice Address - Country:US
Practice Address - Phone:208-745-9201
Practice Address - Fax:208-745-7801
Is Sole Proprietor?:No
Enumeration Date:2014-07-02
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDP7040183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IDP7040OtherIDAHO BOARD OF PHARMACY