Organization · Type 2 NPI

Mikes LTC Pharmacy LLC

Long Term Care Pharmacy · Idaho Falls, ID

NPI number 1972398063 Active

Practice location

180 S Holmes Ave Ste B
Idaho Falls, ID 83401-3945

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.

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About NPI 1972398063

Mikes LTC Pharmacy LLC's National Provider Identifier is 1972398063, issued on Apr 10, 2025. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Idaho Falls, ID. The record was last updated on Aug 3, 2026.