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LOST RIVERS HOSPITAL PHARMACY NPI 1265515357


NPI Information

NPI: 1265515357
Provider Name: LOST RIVERS HOSPITAL PHARMACY
Classification: Pharmacist - 183500000X
Entity Type: Organization
Address:
551 HIGHLAND DR
ARCO, ID
ZIP 83213
Phone: (208) 527-8206
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LOST RIVERS HOSPITAL PHARMACY is a pharmacist in Arco, ID. The provider is an individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. LOST RIVERS HOSPITAL PHARMACY NPI is 1265515357. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

551 HIGHLAND DR
ARCO, ID
ZIP 83213
Phone: (208) 527-8206
Fax: (208) 527-3105

The provider's authorized official is Brad Huerta .
The authorized official title is Ceo and has the following contact phone number (208) 527-8206.

The enumeration date for this NPI number is 10/23/2006 and was last updated on 1/10/2014.


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
1183500000XPharmacistP5347IDAHOYes

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
1807065100MEDICAIDIDAHO
2135061MEDICARE OSCAR/CERTIFICATIONIDAHO

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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