# CHEMIST PRIME LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mountain Care LTC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225668957
- **Authorized official:** SHARA HAYES PHARMD (SOLE MEMBER / PHARMACIST IN CHARGE)
- **Authorized official phone:** (208) 287-4667

## Contact information

- **Practice address:** 222 N MAPLE GROVE RD, BOISE, ID 83704-8239
- **Practice address phone:** (208) 287-4667
- **Practice address fax:** (208) 287-4668
- **Mailing address:** 222 N MAPLE GROVE RD, BOISE, ID 83704-8239
- **Mailing address phone:** (208) 287-4667
- **Mailing address fax:** (208) 287-4668

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 01/22/2020
- **Last updated:** 03/03/2020