Organization
CHEMIST PRIME LLC
Active
Other names
Mountain Care LTC
Organization subpart
No
Provider details
NPI number
Authorized official
SHARA HAYES PHARMD (SOLE MEMBER / PHARMACIST IN CHARGE)
(208) 287-4667
Entity
Organization
Contact information
Practice address
222 N MAPLE GROVE RD, BOISE, ID 83704-8239
(208) 287-4667
(208) 287-4668
Mailing address
222 N MAPLE GROVE RD, BOISE, ID 83704-8239
(208) 287-4667
(208) 287-4668
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
01/22/2020
Last updated
03/03/2020
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