Organization
LUKE FAMILY PHARMACY LLC
Active
Other names
LUKE'S FAMILY PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
LUKE SNELL (OWNER)
(208) 788-4970
Entity
Organization
Contact information
Practice address
101 S MAIN ST, HAILEY, ID 83333-8408
(208) 788-4970
(208) 788-5791
Mailing address
101 S MAIN ST, HAILEY, ID 83333-8408
(208) 788-4970
(208) 788-5791
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
Primary
17844RP
ID
3336C0003X
Community/Retail Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2133110
PK
—
Enumeration date
11/14/2008
Last updated
03/14/2022
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