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
| Taxonomy | Code | License |
|---|---|---|
| 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.
2 other providers at this address
Other long term care pharmacy providers in Eagle
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.