Organization
GUARDIAN PHARMACY OF IDAHO FALLS, LLC
Active
Other names
Heartland Pharmacy - Idaho Falls
Organization subpart
No
Provider details
NPI number
Authorized official
REECE CHRISTENSEN (PRESIDENT/OWNER)
(208) 497-3575
Entity
Organization
Contact information
Practice address
3250 E 17TH ST, AMMON, ID 83406-6758
(208) 552-7677
(208) 552-2098
Mailing address
1790 SABIN DR, AMMON, ID 83406-6747
(208) 497-3575
(208) 552-2103
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
—
—
Other
Enumeration date
04/01/2024
Last updated
08/02/2024
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