Active NPIOrganization

Squad Pharmacy

Pharmacy in Boise, Idaho

NPI Number1245048503
Practice location
202 N 9TH St, Boise, ID 83702-5734
Fax
—
Last updated
December 19, 2024

Squad Pharmacy is a healthcare organization based in Boise, ID. Squad Pharmacy practices in Boise, ID. The NPI Number for Squad Pharmacy is 1245048503. The current practice location address for Squad Pharmacy is 202 N 9TH St, Boise, ID 83702-5734 and can be reached out via phone at 208-417-5249.

Provider Profile Details

NPI Number
1245048503
Provider Name
Squad Pharmacy
Provider Entity Type
Organization
Address
202 N 9TH St, Boise, ID 83702-5734
Phone Number
208-417-5249
Primary Taxonomy
Pharmacy · 333600000X
Organization Subpart
No
Authorized Official
Mallika Khandelwal · Ceo · 610-955-2633
Provider Enumeration Date
December 19, 2024
Last Update Date
December 19, 2024
Certification Date
December 19, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
202 N 9TH St
Boise, ID 83702-5734
City
Boise
State
Idaho
Zip
83702-5734
Phone Number
208-417-5249
Boise, ID 83702Get directions →

Provider Business Mailing Address Details

Address
1107 Broadway Apt 4C
New York, NY 10010-0007
City
New York
State
NY
Zip
10010-0007
Phone Number
610-955-2633

License Information

Taxonomy
Pharmacy · 333600000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Squad Pharmacy?

The NPI number of Squad Pharmacy is 1245048503. It was assigned on December 19, 2024 and is currently active in the NPPES registry.

What is the specialty of Squad Pharmacy?

Squad Pharmacy is registered under the primary taxonomy Pharmacy (code 333600000X).

Where does Squad Pharmacy practice?

The practice location is 202 N 9TH St, Boise, ID 83702-5734. The office can be reached at 208-417-5249 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1245048503 directly on the NPPES registry website.

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