Organization · Type 2 NPI

Guardian Pharmacy of Idaho Falls, LLC

Long Term Care Pharmacy · Ammon, ID

NPI number 1639920051 Active

Practice location

3250 E 17th St
Ammon, ID 83406-6758

Call (208) 552-7677 Map

Fax (208) 552-2098

Mailing address

1790 Sabin Dr
Ammon, ID 83406-6747

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy	333600000X	None listed
Compounding Pharmacy	3336C0004X	None listed
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.

12 other providers at this address

Other long term care pharmacy providers in Ammon

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NPI record

NPI: 1639920051
Entity type: Organization (Type 2)
Issued: Apr 1, 2024
Last updated: Aug 2, 2024
Status: Active

Other names

<unavail>
Heartland Pharmacy - Idaho Falls · doing business as
Heartland Pharmacy - Idaho Falls · doing business as

Authorized official

Reece Christensen
President/owner
(208) 497-3575

Verify this record

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 1639920051

Guardian Pharmacy of Idaho Falls, LLC's National Provider Identifier is 1639920051, issued on Apr 1, 2024. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Ammon, ID. The record was last updated on Aug 2, 2024.