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Organization
ST LUKES REGIONAL MEDICAL CENTER
Active
Organization
ST LUKES REGIONAL MEDICAL CENTER
Active
Parent organization
ST LUKES HEALTH SYSTEM LTD
Other names
St. Luke's Out Patient Pharmacy, St Lukes Pharmacy - Boise Vaccines
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST LUKES HEALTH SYSTEM LTD
Authorized official
KELLEY CURTIS (CHIEF PHARMACY OFFICER)
(208) 493-2307
Entity
Organization
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-4353
(208) 381-4355
Mailing address
PO BOX 640, BOISE, ID 83701-0640
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
1019CP
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002253300
—
ID
01
—
20022777
MEDICARE - PART B VACCINE
ID
01
—
4366970002
MEDICARE - O/P PHARMACY
ID
Enumeration date
12/14/2006
Last updated
04/23/2026
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