Organization
LEMP'S APOTHECARY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD VEACH WILBURN (OWNER)
(208) 342-5691
Entity
Organization
Contact information
Practice address
222 N 2ND ST, SUITE 101, BOISE, ID 83702-6109
(208) 342-5691
(208) 342-4094
Mailing address
222 N 2ND ST, SUITE 101, BOISE, ID 83702-6109
(208) 342-5691
(208) 342-4094
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
524CP
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13-00223
NABP
ID
01
—
524CP
IDAHO STATE LIC. #
ID
Enumeration date
09/04/2006
Last updated
08/22/2020
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