Organization
FULL CIRCLE HEALTH, INC.
Active
Parent organization
FULL CIRCLE HEALTH, INC.
Other names
Full Circle Health Pharmacy Emerald
Organization subpart
Yes
Provider details
NPI number
Legal business name
FULL CIRCLE HEALTH, INC.
Authorized official
JARED MOORE PHARMD (DIRECTOR OF PHARMACY SERVICES)
(208) 514-2500
Entity
Organization
Contact information
Practice address
6565 W EMERALD ST, BOISE, ID 83704-8737
(208) 514-2512
(208) 514-2513
Mailing address
6565 W EMERALD ST, BOISE, ID 83704-8737
(208) 514-2512
(208) 514-2513
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
20358RP
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891047791
—
ID
01
—
2138142
PK
—
Enumeration date
10/03/2012
Last updated
04/29/2022
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