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Organization
BOUNDARY COMMUNITY HOSPITAL PHARMACY
Active
Organization
BOUNDARY COMMUNITY HOSPITAL PHARMACY
Active
Other names
BOUNDARY COMMUNITY HOSPITAL PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
APRIL D BENNETT (CEO)
(208) 267-4850
Entity
Organization
Contact information
Practice address
6640 KANIKSU ST, BONNERS FERRY, ID 83805-7532
(208) 267-3141
(208) 267-2862
Mailing address
6640 KANIKSU ST, BONNERS FERRY, ID 83805-7532
(208) 267-3141
(208) 267-2862
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
NULL
3336I0012X
Institutional Pharmacy
Primary
745HP
ID
3336L0003X
Long Term Care Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002810400
—
ID
01
—
2020837
PK
—
Enumeration date
01/25/2007
Last updated
06/28/2022
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