St. Luke'S Out Patient Pharmacy

LBN: St Lukes Regional Medical Center
St. Luke'S Out Patient Pharmacy is an health care organization with primary practice located at 190 E Bannock St , Boise ID 83712-6241. The organization recently has only one registered license in Suppliers / Pharmacy, which is considered as the primary health care specialty. St Lukes Regional Medical Center can be contacted via phone (208) 381-4353, or through Curtis, Kelley via phone (208) 493-2307.

Contact Information

Primary practice address
190 E Bannock St Boise ID 83712-6241
Phone: (208) 381-4353
Fax: (208) 381-4355
Website:
Map and Directions
Authorized official contact:
Name: Curtis, Kelley
Phone: (208) 493-2307

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 1019CP Idaho

Profile Details

NPI number 1649332768
LBN Legal business name St Lukes Regional Medical Center
DBA Doing business as St. Luke'S Out Patient Pharmacy
Authorized official Curtis, Kelley
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 14th, 2006
Last updated Jun 20th, 2024 - about 2 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 1649332768 NPPES
Idaho Other 20022777 MEDICARE - PART B VACCINE
Idaho Other 4366970002 MEDICARE - PART B VACCINE
Idaho MEDICAID 002253300 MEDICARE - PART B VACCINE

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