Organization
LATAH COMMUNITY HEALTH PHARMACY
Active
Other names
Latah Health Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
AARON WILSON (CEO)
(509) 444-8888
Entity
Organization
Contact information
Practice address
803 S MAIN ST STE 120, MOSCOW, ID 83843-3043
(208) 848-8312
(208) 882-5606
Mailing address
731 N IRON BRIDGE WAY, SPOKANE, WA 99202-4926
(509) 444-8888
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
Primary
37042RP
ID
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750786356
—
ID
05
—
2073987
—
WA
01
—
2148393
PK
—
Enumeration date
10/27/2014
Last updated
01/05/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us