St Lukes Pharmacy - Boise Specialty

LBN: St Lukes Regional Medical Center
St Lukes Pharmacy - Boise Specialty is an health care organization with primary practice located at 11801 W Executive Dr , Boise ID 83713-0803. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Specialty Pharmacy is the primary health care specialty. St Lukes Regional Medical Center can be contacted via phone (208) 205-7779, or through Curtis, Kelley via phone (208) 493-2307.

Contact Information

Primary practice address
11801 W Executive Dr Boise ID 83713-0803
Phone: (208) 205-7779
Fax: (208) 205-7780
Website:
Map and Directions
Authorized official contact:
Name: Curtis, Kelley
Phone: (208) 493-2307

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1609534221
LBN Legal business name St Lukes Regional Medical Center
DBA Doing business as St Lukes Pharmacy - Boise Specialty
Authorized official Curtis, Kelley
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 1st, 2021
Last updated Dec 8th, 2022 - about 4 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 1609534221 NPPES
Idaho MEDICAID NPI

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