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SAVON PHARMACY NPI 1255670683


NPI Information

NPI: 1255670683
Provider Name: SAVON PHARMACY

Former Legal Business Name: NEW ALBERTSONS FORMERLY SUPERVALU

Classification: Pharmacist - 1835P0018X
Entity Type: Organization

Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Address:
1653 S VISTA AVE
PHARMACY
BOISE, ID
ZIP 83705
Phone: (208) 331-3007
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SAVON PHARMACY is a pharmacist clinician (phc)/ clinical pharmacy specialist pharmacist in Boise, ID. The provider is pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. SAVON PHARMACY NPI is 1255670683. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is New Albertsons Formerly Supervalu.

The provider's business location address is:

1653 S VISTA AVE
PHARMACY
BOISE, ID
ZIP 83705-172
Phone: (208) 331-3007

The provider's authorized official is Erica Zelickowski .
The authorized official title is Pharmacist and has the following contact phone number (208) 830-2453.

The enumeration date for this NPI number is 2/5/2013 and was last updated on 2/5/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11835P0018XPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistP6676IDAHOYes
21835P0018XPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist17649NEVADANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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