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Innovative Care Pharmacy
Long Term Care Pharmacy in Boise, Idaho
NPI 1528055324

Innovative Care Pharmacy is a Long Term Care Pharmacy based in Boise, ID and is specialized in Long Term Care Pharmacy. Innovative Care Pharmacy practices in Boise, ID. The NPI Number for Innovative Care Pharmacy is 1528055324 and holds a License No. 2304LS (Idaho).

The current practice location address for Innovative Care Pharmacy is 9196 E Emerald St, Boise, ID and can be reached out via phone at 208-323-1259 and via fax at 208-323-5666.

Location: 9196 E Emerald St, Boise, ID, 83704
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1528055324
Provider Name
Innovative Care Pharmacy
Credential
Provider Entity Type
Organization
Address
9196 E Emerald St, Boise, ID, 83704
Phone Number
208-323-1259
Fax Number
208-323-5666
Provider Enumeration Date
10/05/2005
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
2021877 01 PK
80668600 05 ID
institution
Provider Business Practice Location Address Details
Address
9196 E Emerald St
City
Boise
State
Idaho
Zip
83704
Phone Number
208-323-1259
Fax Number
208-323-5666
person
Provider Business Mailing Address Details
Address
9196 E Emerald St
City
Boise
State
Idaho
Zip
83704
Phone Number
208-323-1259
Fax Number
208-323-5666
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
3336L0003X
License No.
2304LS (Idaho)
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
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