Organization
OAKSTEAD INFUSION PHARMACY OF IDAHO, LLC
Active
Other names
Vital Care of Eastern Idaho
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT GALERIA (OWNER)
(208) 623-8614
Entity
Organization
Contact information
Practice address
2375 E SUNNYSIDE RD STE F2, IDAHO FALLS, ID 83404-8280
(208) 623-8614
(208) 572-7540
Mailing address
2375 E SUNNYSIDE RD STE F2, IDAHO FALLS, ID 83404-8280
(208) 623-8614
(208) 572-7540
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
333600000X
Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
Other
Enumeration date
01/27/2022
Last updated
11/03/2022
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