# ST. LUKE'S BOISE MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SLRMC Inpatient Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255622825
- **Authorized official:** DAWN BERHEIM PHARM D (DIRECTOR OF PHARMACY)
- **Authorized official phone:** (208) 381-7194

## Contact information

- **Practice address:** 190 E BANNOCK ST, INPATIENT PHARMACY, BOISE, ID 83712-6241
- **Practice address phone:** (208) 381-2490
- **Practice address fax:** (208) 381-3554
- **Mailing address:** 190 E BANNOCK STREET, INPATIENT PHARMACY, BOISE, ID 83712-6241

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336I0012X | Institutional Pharmacy | 199HP | ID | Yes |

## Other

- **Enumeration date:** 04/29/2011
- **Last updated:** 04/29/2011