# ST LUKE'S MERIDIAN INPT PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SLMMC INPT PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215228911
- **Authorized official:** MS. MONGTU T NGUYEN PHAM PHARM.D. (OPERATIONS MANAGER)
- **Authorized official phone:** (208) 706-1523

## Contact information

- **Practice address:** 520 S EAGLE RD, ATTN: BASEMENT, MERIDIAN, ID 83642-6351
- **Practice address phone:** (208) 706-1523
- **Practice address fax:** (208) 706-1543
- **Mailing address:** 520 S EAGLE RD, ATTN: BASEMENT, MERIDIAN, ID 83642-6351
- **Mailing address phone:** (208) 706-1523
- **Mailing address fax:** (208) 706-1543

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336I0012X | Institutional Pharmacy | 1632HP | ID | Yes |

## Other

- **Enumeration date:** 04/28/2011
- **Last updated:** 04/28/2011