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Organization

ST ALPHONSUS REGIONAL MED

Active
Parent organization
ST ALPHONSUS REGIONAL MED
Other names
PHARMACY
Organization subpart
Yes

Provider details

NPI number
Legal business name
ST ALPHONSUS REGIONAL MED
Authorized official
BRIAN LANNIE CHECKETTS (CFO AND BOARD MEMBER)
(208) 367-2844
Entity
Organization

Contact information

Practice address
1055 N CURTIS RD, BOISE, ID 83706
(208) 367-3069
(208) 367-3016
Mailing address
1055 N CURTIS RD, BOISE, ID 83706-1309
(208) 367-3069
(208) 367-3016

Taxonomy

Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
2
ID

Other

Enumeration date
10/17/2006
Last updated
10/17/2024
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