Organization · Type 2 NPI

Idaho Pharmacy Retail

Community/Retail Pharmacy · Boise, ID

NPI number 1760386635 Active

Practice location

8854 W Emerald St Ste 140
Boise, ID 83704-4845

Fax (208) 485-7400

Mailing address

1079 S Ancona Ave Ste 140
Eagle, ID 83616-5539

Specialties and licenses

TaxonomyCodeLicense
Community/Retail Pharmacy Primary 3336C0003XNone listed

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

11 other providers at this address

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About NPI 1760386635

Idaho Pharmacy Retail's National Provider Identifier is 1760386635, issued on Oct 5, 2026. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Boise, ID. The record was last updated on Oct 5, 2026.