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Organization
ST LUKE'S REG MED CTR EMPLOYEE OUTPT PHARMACY
Active
Organization
ST LUKE'S REG MED CTR EMPLOYEE OUTPT PHARMACY
Active
Other names
St Luke's EOP
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES W NORMARK RPH (OPERATION MANAGER, OUTPT PHARMACY)
(208) 381-4354
Entity
Organization
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-4353
(208) 381-4355
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-4353
(208) 381-4355
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
1019CP
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1019CP
PHARMACY LICENSE
ID
01
—
1305653
NABP
—
Enumeration date
08/12/2005
Last updated
08/22/2020
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