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St Luke's Reg Med Ctr Employee Outpt Pharmacy
Pharmacy in Boise, Idaho
NPI 1023010642

St Luke's Reg Med Ctr Employee Outpt Pharmacy is a Pharmacy based in Boise, ID. St Luke's Reg Med Ctr Employee Outpt Pharmacy practices in Boise, ID. The NPI Number for St Luke's Reg Med Ctr Employee Outpt Pharmacy is 1023010642 and holds a License No. 1019CP (Idaho).

The current practice location address for St Luke's Reg Med Ctr Employee Outpt Pharmacy is 190 E Bannock St, Boise, ID and can be reached out via phone at 208-381-4353 and via fax at 208-381-4355.

Location: 190 E Bannock St, Boise, ID, 83712-6241
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1023010642
Provider Name
St Luke's Reg Med Ctr Employee Outpt Pharmacy
Credential
Provider Entity Type
Organization
Address
190 E Bannock St, Boise, ID, 83712-6241
Phone Number
208-381-4353
Fax Number
208-381-4355
Provider Enumeration Date
08/12/2005
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1019CP 01 ID PHARMACY LICENSE
1305653 01 NABP
institution
Provider Business Practice Location Address Details
Address
190 E Bannock St
City
Boise
State
Idaho
Zip
83712-6241
Phone Number
208-381-4353
Fax Number
208-381-4355
person
Provider Business Mailing Address Details
Address
190 E Bannock St
City
Boise
State
Idaho
Zip
83712-6241
Phone Number
208-381-4353
Fax Number
208-381-4355
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
1019CP (Idaho)
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
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