Organization · Type 2 NPI

ST Lukes Regional Medical Center

Pharmacy · Boise, ID

NPI number 1114705431 Active

Practice location

190 E Bannock St
Boise, ID 83712-6241

Fax (208) 381-4355

Specialties and licenses

Taxonomy	Code	License
Pharmacy Primary	333600000X	None 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…

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NPI record

NPI: 1114705431
Entity type: Organization (Type 2)
Issued: Sep 18, 2023
Last updated: Jun 20, 2024
Status: Active
Subpart: Yes of ST Lukes Health System Ltd

Other names

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ST Lukes Pharmacy Locker - Boise Hospital Lobby · doing business as
ST Lukes Pharmacy Locker - Boise Hospital Lobby · doing business as

Authorized official

Kelly Curtis
Chief Pharmacy Officer
(208) 493-2307

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1114705431

ST Lukes Regional Medical Center's National Provider Identifier is 1114705431, issued on Sep 18, 2023. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Boise, ID. The record was last updated on Jun 20, 2024.