IDAHO STATE VETERAN HOME - LEWISTON is a long term care pharmacy pharmacy in Lewiston, 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. IDAHO STATE VETERAN HOME - LEWISTON NPI is 1689687261. The provider is registered as an organization entity type.
The provider's business location address is:
821 21ST AVE
LEWISTON, ID
ZIP 83501-389
Phone: (208) 799-3422
Fax: (208) 743-8833
The provider's authorized official is K Douglas Crafton .
The authorized official title is Director Of Pharmacy and has the following contact phone number (208) 799-3422.
The CLIA number assigned to this NPI record is 13D2150943 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/14/2006 and was last updated on 3/7/2023.