Organization
ST LUKES NAMPA MEDICAL CENTER LTD
Active
Parent organization
ST LUKES HEALTH SYSTEM LTD
Other names
ST LUKES NAMPA RETAIL PHARMACY
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
9850 W ST LUKES DR, NAMPA, ID 83687-7912
(208) 381-4353
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-4353
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20022717
MEDICARE - PART B VACCINES
ID
01
—
7676920001
MEDICARE - O/P PHARMACY
ID
Enumeration date
04/11/2017
Last updated
04/23/2026
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