Organization
ST LUKES REGIONAL MEDICAL CENTER
Active
Parent organization
ST LUKES HEALTH SYSTEM LTD
Other names
St Lukes Out Patient Pharmacy - Meridian, St Lukes Meridian Pharmacy - Vaccines
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST LUKES HEALTH SYSTEM LTD
Authorized official
KELLEY CURTIS (CHIEF PHARMACY OFFICER)
(208) 493-2307
Entity
Organization
Contact information
Practice address
520 S EAGLE RD, SUITE 1000, MERIDIAN, ID 83642-6351
(208) 706-5255
(208) 706-5253
Mailing address
PO BOX 640, BOISE, ID 83701-0640
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
1145CP
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002253500
—
ID
01
—
1145CP
PHARMACY LICENSE
ID
01
—
1306011
NABP
—
01
—
20022777
MEDICARE - PART B VACCINES
ID
Enumeration date
08/10/2005
Last updated
04/23/2026
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