Organization · Type 2 NPI

Idaho Pharmacy LLC

Long Term Care Pharmacy · Eagle, ID

NPI number 1932977600 Active

Practice location

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

Specialties and licenses

TaxonomyCodeLicense
Long Term Care Pharmacy Primary 3336L0003XNone 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.

2 other providers at this address

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About NPI 1932977600

Idaho Pharmacy LLC's National Provider Identifier is 1932977600, issued on Dec 13, 2023. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Eagle, ID. The record was last updated on Oct 5, 2026.