Organization · Type 2 NPI

ST Lukes Regional Medical Center

Pharmacy · Fruitland, ID

NPI number 1013791797 Active

Practice location

1118 NW 16th St Ste 150
Fruitland, ID 83619-2271

Fax (208) 452-9899

Mailing address

PO Box 640
Boise, ID 83701-0640

Specialties and licenses

TaxonomyCodeLicense
Pharmacy Primary 333600000XNone listed

Pharmacy: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is lo…

About NPI 1013791797

ST Lukes Regional Medical Center's National Provider Identifier is 1013791797, issued on Aug 23, 2023. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Fruitland, ID. The record was last updated on Apr 20, 2026.