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HELLS CANYON HEALTH AND WELLNESS PHARMACY NPI 1457739989


NPI Information

NPI: 1457739989
Provider Name: HELLS CANYON HEALTH AND WELLNESS PHARMACY

Doing Business As: HELLS CANYON PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
523 THAIN RD
LEWISTON, ID
ZIP 83501
Phone: (208) 743-5515
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HELLS CANYON HEALTH AND WELLNESS PHARMACY is a community/retail pharmacy pharmacy in Lewiston, ID. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. HELLS CANYON HEALTH AND WELLNESS PHARMACY NPI is 1457739989. The provider is registered as an organization entity type.
The provider Is Doing Business As Hells Canyon Pharmacy.

The provider's business location address is:

523 THAIN RD
LEWISTON, ID
ZIP 83501
Phone: (208) 743-5515
Fax: (208) 743-0333

The provider's authorized official is Charles Andrew Pottenger .
The authorized official title is Authorized Official and has the following contact phone number (208) 743-5515.

The enumeration date for this NPI number is 5/17/2015 and was last updated on 9/15/2021.


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
13336C0004XPharmacyCompounding PharmacyNo
23336C0003XPharmacyCommunity/Retail Pharmacy38642RPIDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11457739989MEDICAIDIDAHO

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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