NPI 1023010642
St Luke's Reg Med Ctr Employee Outpt Pharmacy
Practice location
- Address
- 190 E Bannock St, Boise, ID 83712-6241
- Phone
- (208) 381-4353
- Fax
- (208) 381-4355
Authorised official
- Name
- James W Normark
- Title
- Operation Manager, Outpt Pharmacy
- Phone
- (208) 381-4354
Registered specialties
Pharmacy
Primary
Registry record
- NPI
- 1023010642
- Entity type
- Organization
- NPI issued
- 12 Aug 2005
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.