Organization
ST LUKES REGIONAL MEDICAL CENTER
Active
Parent organization
ST LUKES HEALTH SYSTEM LTD
Other names
St Lukes Pharmacy - Boise Community
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
11801 W EXECUTIVE DR, BOISE, ID 83713-0803
(208) 205-7779
(208) 205-7780
Mailing address
PO BOX 640, BOISE, ID 83701-0640
(208) 205-7779
(208) 205-7780
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4366970009
MEDICARE
ID
Enumeration date
11/29/2021
Last updated
04/20/2026
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