Organization · Type 2 NPI

Heartland Pharmacy - Boise

Long Term Care Pharmacy · Boise, ID

NPI number 1710056445 Active

Practice location

8455 W Emerald St
Boise, ID 83704-8306

Call (208) 323-0067 Map

Fax (208) 323-5954

Mailing address

1790 Sabin Dr
Ammon, ID 83406-6747

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Long Term Care Pharmacy Primary	3336L0003X	1679LS (ID)

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.

5 other providers at this address

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NPI record

NPI: 1710056445
Entity type: Organization (Type 2)
Issued: Nov 7, 2006
Last updated: Nov 13, 2020
Status: Active

Other names

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Heartland LTC Pharmacy · doing business as
Heartland LTC Pharmacy · doing business as

Authorized official

Andrea Ferguson
Executive Assistant
(208) 497-3575

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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 1710056445

Heartland Pharmacy - Boise's National Provider Identifier is 1710056445, issued on Nov 7, 2006. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Boise, ID. The record was last updated on Nov 13, 2020.