<Unavail>

LBN: Heartland Pharmacy - Boise
<Unavail> is an health care organization with primary practice located at 8455 W Emerald St , Boise ID 83704-8306. The organization recently has 4 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Heartland Pharmacy - Boise can be contacted via phone (208) 323-0067, or through Shortsleeve, Heather via phone (208) 552-7677.

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: Shortsleeve, Heather
Phone: (208) 552-7677

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 1680CP Idaho
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 1679LS Idaho
Suppliers / Pharmacy 333600000X 1680CP Idaho
Suppliers / Long Term Care Pharmacy 3336L0003X 1680CP Idaho

Profile Details

NPI number 1891771747
LBN Legal business name Heartland Pharmacy - Boise
DBA Doing business as <Unavail>
Authorized official Shortsleeve, Heather
Entity Organization
Organization subpart 1 No
Enumeration date Dec 21st, 2005
Last updated Jan 4th, 2021 - about 5 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 1891771747 NPPES
Idaho MEDICAID 805127900
Idaho Other 805126600
Idaho MEDICAID 500600675

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