Organization
KOOTENAI HEALTH, INC.
Active
Other names
KOOTENAI HEALTH PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JON NESS (CEO)
(208) 625-5081
Entity
Organization
Contact information
Practice address
700 W IRONWOOD DR STE 159, COEUR D ALENE, ID 83814-4401
(208) 664-6664
(208) 664-8527
Mailing address
2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814-6051
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
04/20/2020
Last updated
01/05/2024
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