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Heartland Pharmacy - Idaho Falls
Long Term Care Pharmacy in Ammon, Idaho
NPI 1740265420

Heartland Pharmacy - Idaho Falls is a Long Term Care Pharmacy based in Ammon, ID and is specialized in Long Term Care Pharmacy. Heartland Pharmacy - Idaho Falls practices in Ammon, ID. The NPI Number for Heartland Pharmacy - Idaho Falls is 1740265420 and holds a License No. (Idaho).

The current practice location address for Heartland Pharmacy - Idaho Falls is 3250 E 17Th St, Ammon, ID and can be reached out via phone at 208-552-7677 and via fax at 208-552-2098.

Location: 3250 E 17Th St, Ammon, ID, 83406-6747
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1740265420
Provider Name
Heartland Pharmacy - Idaho Falls
Credential
Provider Entity Type
Organization
Address
3250 E 17Th St, Ammon, ID, 83406-6747
Phone Number
208-552-7677
Fax Number
208-552-2098
Provider Enumeration Date
12/14/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0212857 05 MT
1740265420 05 UT
806143700 05 ID
2021757 01 PK
institution
Provider Business Practice Location Address Details
Address
3250 E 17Th St
City
Ammon
State
Idaho
Zip
83406-6758
Phone Number
208-552-7677
Fax Number
208-552-2098
person
Provider Business Mailing Address Details
Address
3250 E 17Th St
City
Ammon
State
Idaho
Zip
83406-6758
Phone Number
208-552-7677
Fax Number
208-552-2098
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
1624LS (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.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
3336L0003X
License No.
()
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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