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HELLS CANYON HEALTH AND WELLNESS PHARMACY NPI 1619507761


NPI Information

NPI: 1619507761
Provider Name: HELLS CANYON HEALTH AND WELLNESS PHARMACY
Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

CLIA Number: 13D2197844

Address:
523 THAIN RD
LEWISTON, ID
ZIP 83501
Phone: (208) 743-5515
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HELLS CANYON HEALTH AND WELLNESS PHARMACY 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 for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. HELLS CANYON HEALTH AND WELLNESS PHARMACY NPI is 1619507761. The provider is registered as an organization entity type.

The provider's business location address is:

523 THAIN RD
LEWISTON, ID
ZIP 83501-530
Phone: (208) 743-5515

The provider's authorized official is Charles Andrew Pottenger .
The authorized official title is Owner and has the following contact phone number (208) 743-5515.

The CLIA number assigned to this NPI record is 13D2197844 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/16/2020 and was last updated on 1/16/2020.


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 PharmacyYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.