# LATAH COMMUNITY HEALTH PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Latah Health Pharmacy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750786356
- **Authorized official:** AARON WILSON (CEO)
- **Authorized official phone:** (509) 444-8888

## Contact information

- **Practice address:** 803 S MAIN ST STE 120, MOSCOW, ID 83843-3043
- **Practice address phone:** (208) 848-8312
- **Practice address fax:** (208) 882-5606
- **Mailing address:** 731 N IRON BRIDGE WAY, SPOKANE, WA 99202-4926
- **Mailing address phone:** (509) 444-8888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0002X | Clinic Pharmacy | 37042RP | ID | Yes |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 10/27/2014
- **Last updated:** 01/05/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1750786356 | — | ID |
| 05 | — | 2073987 | — | WA |
| 01 | — | 2148393 | PK | — |