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Organization
ST LUKES REGIONAL MEDICAL CENTER
Active
Organization
ST LUKES REGIONAL MEDICAL CENTER
Active
Parent organization
ST LUKE'S REGIONAL MEDICAL CENTER
Other names
ST Lukes Elmore Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST LUKE'S REGIONAL MEDICAL CENTER
Authorized official
MRS. KELLEY CURTIS (CHIEF PHARMACY OFFICER)
(208) 493-2307
Entity
Organization
Contact information
Practice address
895 N 6TH E, MTN HOME, ID 83647-2207
(208) 587-8401
(208) 587-8406
Mailing address
PO BOX 2777, BOISE, ID 83701-2777
(208) 493-2307
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1302582
NCPDP NUMBER
ID
Enumeration date
02/08/2007
Last updated
03/30/2022
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