Organization
KOOTENAI HEALTH, INC.
Active
Other names
Kootenai Health Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE BOUIT (CFO)
(208) 625-4001
Entity
Organization
Contact information
Practice address
8882 N GOVERNMENT WAY STE L, HAYDEN, ID 83835-9282
(208) 625-3190
(208) 625-3191
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
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
05/06/2024
Last updated
02/06/2025
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