Heartland Ltc Pharmacy

LBN: Heartland Pharmacy - Boise
Heartland Ltc Pharmacy is an health care organization with primary practice located at 8455 W Emerald St , Boise ID 83704-8306. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty. Heartland Pharmacy - Boise can be contacted via phone (208) 323-0067, or through Ferguson, Andrea via phone (208) 497-3575.

Contact Information

Primary practice address
8455 W Emerald St Boise ID 83704-8306
Phone: (208) 323-0067
Fax: (208) 323-5954
Website:
Map and Directions
Authorized official contact:
Name: Ferguson, Andrea
Phone: (208) 497-3575

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Long Term Care Pharmacy 3336L0003X 1679LS Idaho

Profile Details

NPI number 1710056445
LBN Legal business name Heartland Pharmacy - Boise
DBA Doing business as Heartland Ltc Pharmacy
Authorized official Ferguson, Andrea
Entity Organization
Organization subpart 1 No
Enumeration date Nov 7th, 2006
Last updated Nov 13th, 2020 - about 6 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 1710056445 NPPES
Idaho MEDICAID 805127900
Idaho Other 2021934

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