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Organization
CONTINUED CARE LTC PHARMACY IDAHO LLC
Active
Organization
CONTINUED CARE LTC PHARMACY IDAHO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON HAGEN (GENERAL MANAGER)
(888) 557-4318
Entity
Organization
Contact information
Practice address
9196 W EMERALD ST STE 125, BOISE, ID 83704-9049
(888) 277-2132
Mailing address
PO BOX 1250, RIVERTON, UT 84065-1250
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
NULL
Other
Enumeration date
04/27/2019
Last updated
08/13/2024
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