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Idaho State Veteran Home - Lewiston
Long Term Care Pharmacy in Lewiston, Idaho
NPI 1689687261

Idaho State Veteran Home - Lewiston is a Long Term Care Pharmacy based in Lewiston, ID and is specialized in Long Term Care Pharmacy. Idaho State Veteran Home - Lewiston practices in Lewiston, ID. The NPI Number for Idaho State Veteran Home - Lewiston is 1689687261 and holds a License No. 1042HP (Idaho).

The current practice location address for Idaho State Veteran Home - Lewiston is 821 21St Ave, Lewiston, ID and can be reached out via phone at 208-799-3422 and via fax at 208-743-8833.

Location: 821 21St Ave, Lewiston, ID, 83501-6389
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1689687261
Provider Name
Idaho State Veteran Home - Lewiston
Credential
Provider Entity Type
Organization
Address
821 21St Ave, Lewiston, ID, 83501-6389
Phone Number
208-799-3422
Fax Number
208-743-8833
Provider Enumeration Date
08/14/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1307102 01 ID NCPDP NUMBER
institution
Provider Business Practice Location Address Details
Address
821 21St Ave
City
Lewiston
State
Idaho
Zip
83501-6389
Phone Number
208-799-3422
Fax Number
208-743-8833
person
Provider Business Mailing Address Details
Address
821 21St Ave
City
Lewiston
State
Idaho
Zip
83501-6389
Phone Number
208-799-3422
Fax Number
208-743-8833
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
3336L0003X
License No.
1042HP (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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