Organization
ST. LUKE'S BOISE MEDICAL CENTER
Active
Other names
SLRMC Inpatient Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN BERHEIM PHARM D (DIRECTOR OF PHARMACY)
(208) 381-7194
Entity
Organization
Contact information
Practice address
190 E BANNOCK ST, INPATIENT PHARMACY, BOISE, ID 83712-6241
(208) 381-2490
(208) 381-3554
Mailing address
190 E BANNOCK STREET, INPATIENT PHARMACY, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
199HP
ID
Other
Enumeration date
04/29/2011
Last updated
04/29/2011
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