Lost Rivers Hospital Pharmacy

NPI 1265515357 - Pharmacist - 183500000X

NPI Details
NPI 1265515357
Enumeration Date 10/23/2006
Last Updated 01/10/2014
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Position CEO
Phone (208) 527-8206
Fax (208) 527-3105
Practice Location
ARCO ID, 83213, US
Phone (208) 527-8206
Fax (208) 527-3105
Business Location
PO BOX 145
ARCO ID, 83213-0145, US
Phone (208) 527-8206
Fax (208) 527-3105
Taxonomy Code 183500000X
License State Idaho
License Number P5347
Remove 1265515357 NPI Number

According to our database, Lost Rivers Hospital Pharmacy NPI is 1265515357, taxonomy code is 183500000X and license number is P5347, license state is located at Idaho. Lost Rivers Hospital Pharmacy physically located at 551 Highland Dr, Arco ID, 83213. NPI Number 1033115704 has the healthcare provider type.

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1265515357 NPI number is provided on an as is basis without warranty of any kind. 1265515357 is maintained by the National Plan & Provider Enumeration System. The contents of Lost Rivers Hospital Pharmacy are for informational purposes only.