Organization
ST LUKE'S REG MED CTR EMPLOYEE OUTPT PHARMACY
Active
Other names
St Luke's EOP
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES W NORMARK RPH (OPERATION MANAGER, OUTPT PHARMACY)
(208) 381-4354
Entity
Organization
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-4353
(208) 381-4355
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-4353
(208) 381-4355
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
1019CP
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1019CP
PHARMACY LICENSE
ID
01
—
1305653
NABP
—
Enumeration date
08/12/2005
Last updated
08/22/2020
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