Organization
CONTINUED CARE LTC PHARMACY IDAHO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON HAGEN (GENERAL MANAGER)
(888) 557-4318
Entity
Organization
Contact information
Practice address
9196 W EMERALD ST STE 125, BOISE, ID 83704-9049
(888) 277-2132
Mailing address
PO BOX 1250, RIVERTON, UT 84065-1250
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
04/27/2019
Last updated
08/13/2024
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