Organization
WELL LIFE PHARMACY INCORPORATED
Active
Other names
WELL LIFE POST FALLS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY FOSTER RPH (OWNER AND PRESIDENT)
(208) 267-4004
Entity
Organization
Contact information
Practice address
565 N VEST ST, POST FALLS, ID 83854-7066
(208) 773-2499
(208) 773-6309
Mailing address
PO BOX 1687, BONNERS FERRY, ID 83805-1687
(208) 267-8929
(208) 267-8085
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
2161RP
ID
3336C0004X
Compounding Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2020945
PK
—
05
—
6030860
—
WA
05
—
807722900
—
ID
05
—
807728600
—
ID
Enumeration date
09/06/2006
Last updated
01/18/2017
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