Organization
HAYES INSPIRATIONS
Active
Other names
Mountain Care Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
SHARA HAYES (OWNER)
(208) 287-4667
Entity
Organization
Contact information
Practice address
286 N MAPLE GROVE RD, BOISE, ID 83704-8239
(208) 287-4667
(208) 287-4668
Mailing address
286 N MAPLE GROVE RD, BOISE, ID 83704-8239
(208) 287-4667
(208) 287-4668
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
3336S0011X
Specialty Pharmacy
Primary
39835RP
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2151915
PK
—
05
—
8085303
—
ID
Enumeration date
08/05/2009
Last updated
04/25/2017
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