Pure Path Compounding Pharmacy Llc

LBN: Pure Path Compounding Pharmacy Llc
Pure Path Compounding Pharmacy Llc is an health care organization with primary practice located at 2141 W Airport Way Ste 700 , Boise ID 83705-5168. The organization recently has 4 registered licenses in different health care specialties including Suppliers / Compounding Pharmacy, Suppliers / Home Infusion Therapy Pharmacy, Suppliers / Mail Order Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Compounding Pharmacy is the primary health care specialty. Pure Path Compounding Pharmacy Llc can be contacted via phone (208) 985-3575, or through Crumley, Kevin via phone (208) 985-3575.

Contact Information

Primary practice address
2141 W Airport Way Ste 700 Boise ID 83705-5168
Phone: (208) 985-3575
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Crumley, Kevin
Phone: (208) 985-3575

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Home Infusion Therapy Pharmacy 3336H0001X
Suppliers / Mail Order Pharmacy 3336M0002X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1033917810
LBN Legal business name Pure Path Compounding Pharmacy Llc
DBA Doing business as
Authorized official Crumley, Kevin
Entity Organization
Organization subpart 1 No
Enumeration date Mar 6th, 2025
Last updated Mar 24th, 2025 - about last year

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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