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ST LUKE'S REGIONAL MEDICAL CENTER NPI 1649332768


NPI Information

NPI: 1649332768
Provider Name: ST LUKE'S REGIONAL MEDICAL CENTER

Doing Business As: ST. LUKE'S OUT PATIENT PHARMACY

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
190 E BANNOCK ST
BOISE, ID
ZIP 83712
Phone: (208) 381-4353
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ST LUKE'S REGIONAL MEDICAL CENTER is a pharmacy in Boise, ID. The provider is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. ST LUKE'S REGIONAL MEDICAL CENTER NPI is 1649332768. The provider is registered as an organization entity type.
The provider Is Doing Business As St. Luke's Out Patient Pharmacy.

The provider's business location address is:

190 E BANNOCK ST
BOISE, ID
ZIP 83712-241
Phone: (208) 381-4353
Fax: (208) 381-4355

The provider's authorized official is Kelley Curtis .
The authorized official title is Chief Pharmacy Officer and has the following contact phone number (208) 493-2307.

The enumeration date for this NPI number is 12/14/2006 and was last updated on 12/8/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacy1019CPIDAHOYes

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
1002253300MEDICAIDIDAHO
24366970002OTHERIDAHOMEDICARE - O/P PHARMACY
320022777OTHERIDAHOMEDICARE - PART B VACCINE

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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