Organization
ST LUKES REGIONAL MEDICAL CENTER
Active
Parent organization
ST LUKES HEALTH SYSTEM LTD
Other names
St. Luke's Out Patient Pharmacy, St Lukes Pharmacy - Boise Vaccines
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST LUKES HEALTH SYSTEM LTD
Authorized official
KELLEY CURTIS (CHIEF PHARMACY OFFICER)
(208) 493-2307
Entity
Organization
Contact information
Practice address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-4353
(208) 381-4355
Mailing address
PO BOX 640, BOISE, ID 83701-0640
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
1019CP
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002253300
—
ID
01
—
20022777
MEDICARE - PART B VACCINE
ID
01
—
4366970002
MEDICARE - O/P PHARMACY
ID
Enumeration date
12/14/2006
Last updated
04/23/2026
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