Organization
ST. JOSEPH REGIONAL MEDICAL CENTER
Active
Other names
Limited Service Outpatient Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES R JURGENS R.PH. (DIRECTOR OF PHARMACY)
(208) 799-5615
Entity
Organization
Contact information
Practice address
415 6TH ST, LEWISTON, ID 83501-2431
(208) 799-5617
(208) 799-6569
Mailing address
415 6TH ST, LEWISTON, ID 83501-2431
(208) 799-5617
(208) 799-6569
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
1273LS
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NABP
1302621
ID
Enumeration date
05/23/2007
Last updated
08/22/2020
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