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KEYMED INC NPI 1487698171


NPI Information

NPI: 1487698171
Provider Name: KEYMED INC

Doing Business As: SNAKE RIVER LONG TERM CARE PHARMACY

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
1023 YELLOWSTONE AVE STE J
POCATELLO, ID
ZIP 83201
Phone: (208) 233-2444
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KEYMED INC is a long term care pharmacy pharmacy in Pocatello, 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 for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. KEYMED INC NPI is 1487698171. The provider is registered as an organization entity type.
The provider Is Doing Business As Snake River Long Term Care Pharmacy.

The provider's business location address is:

1023 YELLOWSTONE AVE STE J
POCATELLO, ID
ZIP 83201-478
Phone: (208) 233-2444
Fax: (208) 233-3439

The provider's authorized official is Brian Lunt .
The authorized official title is President and has the following contact phone number (208) 233-2444.

The enumeration date for this NPI number is 6/15/2006 and was last updated on 2/15/2019.


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
13336L0003XPharmacyLong Term Care Pharmacy1901LSIDAHONo
23336L0003XPharmacyLong Term Care Pharmacy44701LSIDAHOYes

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
1807012000MEDICAIDIDAHO

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: 11/14/2023

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