OAKSTEAD INFUSION PHARMACY OF IDAHO LLC NPI 1467105726

NPI Information

NPI: 1467105726
Provider Name: OAKSTEAD INFUSION PHARMACY OF IDAHO, LLC

Doing Business As: VITAL CARE OF EASTERN IDAHO

Classification: Home Infusion - 251F00000X
Entity Type: Organization
Address:
2375 E SUNNYSIDE RD STE F2
IDAHO FALLS, ID
ZIP 83404
Phone: (208) 623-8614
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OAKSTEAD INFUSION PHARMACY OF IDAHO, LLC is a home infusion in Idaho Falls, ID. OAKSTEAD INFUSION PHARMACY OF IDAHO, LLC NPI is 1467105726. The provider is registered as an organization entity type.
The provider Is Doing Business As Vital Care Of Eastern Idaho.

The provider's business location address is:

2375 E SUNNYSIDE RD STE F2
IDAHO FALLS, ID
ZIP 83404-280
Phone: (208) 623-8614
Fax: (208) 572-7540

The provider's authorized official is Robert Galeria .
The authorized official title is Owner and has the following contact phone number (208) 623-8614.

The enumeration date for this NPI number is 1/27/2022 and was last updated on 11/3/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies		No
2	332BP3500X	Durable Medical Equipment & Medical Supplies	Parenteral & Enteral Nutrition	No
3	333600000X	Pharmacy		No
4	3336H0001X	Pharmacy	Home Infusion Therapy Pharmacy	No
5	251F00000X	Home Infusion		Yes

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

NPI Synchronization or Removal

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