Organization · Type 2 NPI

Pharmerica Mountain LLC

Long Term Care Pharmacy · Meridian, ID

NPI number 1760494033 Active

Practice location

2950 E Magic View Dr Ste 190
Meridian, ID 83642

Call (208) 887-1951 Map

Fax (208) 895-9825

Mailing address

805 N Whittington Pkwy
Louisville, KY 40222-7101

Specialties and licenses

Taxonomy	Code	License
Long Term Care Pharmacy Primary	3336L0003X	1929LS (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.

Other long term care pharmacy providers in Meridian

See all in Meridian →

NPI record

NPI: 1760494033
Entity type: Organization (Type 2)
Issued: Aug 13, 2006
Last updated: Feb 13, 2024
Status: Active
Subpart: Yes of Pharmerica Corporation

Other names

<unavail>
Pharmerica · doing business as
Pharmerica · doing business as

Authorized official

Mr. Allison L. Brown
Secretary
(502) 630-7429

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 1760494033

Pharmerica Mountain LLC's National Provider Identifier is 1760494033, issued on Aug 13, 2006. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Meridian, ID. The record was last updated on Feb 13, 2024.