# ST LUKES REGIONAL MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ST LUKE'S REGIONAL MEDICAL CENTER
- **Other names:** ST Lukes Elmore Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1245371863
- **Legal business name:** ST LUKE'S REGIONAL MEDICAL CENTER
- **Authorized official:** MRS. KELLEY CURTIS (CHIEF PHARMACY OFFICER)
- **Authorized official phone:** (208) 493-2307

## Contact information

- **Practice address:** 895 N 6TH E, MTN HOME, ID 83647-2207
- **Practice address phone:** (208) 587-8401
- **Practice address fax:** (208) 587-8406
- **Mailing address:** PO BOX 2777, BOISE, ID 83701-2777
- **Mailing address phone:** (208) 493-2307

## Taxonomy

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

## Other

- **Enumeration date:** 02/08/2007
- **Last updated:** 03/30/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1302582 | NCPDP NUMBER | ID |