Organization · Type 2 NPI

ST Luke's Reg Med CTR Employee Outpt Pharmacy

Pharmacy · Boise, ID

NPI number 1023010642 Active

Practice location

190 E Bannock St
Boise, ID 83712-6241

Call (208) 381-4353 Map

Fax (208) 381-4355

Specialties and licenses

TaxonomyCodeLicense
Pharmacy Primary 333600000X1019CP (ID)

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…

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About NPI 1023010642

ST Luke's Reg Med CTR Employee Outpt Pharmacy's National Provider Identifier is 1023010642, issued on Aug 12, 2005. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Boise, ID. The record was last updated on Aug 22, 2020.