Well Life Sand Creek Pharmacy

LBN: Foster Holdings Ltd
Well Life Sand Creek Pharmacy is an health care organization with primary practice located at 476864 Hwy 95 N Ste 3, Ponderay ID 83852-9737. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Foster Holdings Ltd can be contacted via phone (208) 265-0142, or through Foster, Jeffrey via phone (208) 290-5362.

Contact Information

Primary practice address
476864 Hwy 95 N Ste 3 Ponderay ID 83852-9737
Phone: (208) 265-0142
Fax: (208) 265-0185
Website:
Map and Directions
Authorized official contact:
Name: Foster, Jeffrey
Phone: (208) 290-5362

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 2152CP Idaho
Suppliers / Community/Retail Pharmacy 3336C0003X 2152CP Idaho
Suppliers / Compounding Pharmacy 3336C0004X 2152CP Idaho

Profile Details

NPI number 1093833105
LBN Legal business name Foster Holdings Ltd
DBA Doing business as Well Life Sand Creek Pharmacy
Authorized official Foster, Jeffrey
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 2007
Last updated Jun 24th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093833105 NPPES
Idaho MEDICAID 807709100
Idaho Other 1307760

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