Organization · Type 2 NPI

ST Lukes Regional Medical Center

Long Term Care Pharmacy · Mtn Home, ID

NPI number 1245371863 Active

Practice location

895 N 6th E
Mtn Home, ID 83647-2207

Call (208) 587-8401 Map

Fax (208) 587-8406

Mailing address

PO Box 2777
Boise, ID 83701-2777

Specialties and licenses

Taxonomy	Code	License
Long Term Care Pharmacy Primary	3336L0003X	None listed

Long Term Care Pharmacy: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.

28 other providers at this address

NPI record

NPI: 1245371863
Entity type: Organization (Type 2)
Issued: Feb 8, 2007
Last updated: Mar 30, 2022
Status: Active
Subpart: Yes of ST Luke's Regional Medical Center

Other names

<unavail>
ST Lukes Elmore Pharmacy · doing business as
ST Lukes Elmore Pharmacy · doing business as

Authorized official

Mrs. Kelley 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 1245371863

ST Lukes Regional Medical Center's National Provider Identifier is 1245371863, issued on Feb 8, 2007. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Mtn Home, ID. The record was last updated on Mar 30, 2022.