INNOVATIVE CARE PHARMACY NPI 1528055324

NPI Information

INNOVATIVE CARE PHARMACY is a long term care pharmacy pharmacy in Boise, ID. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. INNOVATIVE CARE PHARMACY NPI is 1528055324. The provider is registered as an organization entity type.
The provider Is Doing Business As Innovative Care Pharmacy Llc.

The provider's business location address is:

9196 E EMERALD ST
STE 110
BOISE, ID
ZIP 83704
Phone: (208) 323-1259
Fax: (208) 323-5666

The provider's authorized official is Brad Lanham .
The authorized official title is President/ceo and has the following contact phone number (817) 328-6421.

The enumeration date for this NPI number is 10/5/2005 and was last updated on 5/7/2013.

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:

Other Identifiers

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

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