NPI 1033917810
Pure Path Compounding Pharmacy LLC
Practice location
- Address
- 2141 W Airport Way STE 700, Boise, ID 83705-5168
- Phone
- (208) 985-3575
Authorised official
- Name
- Kevin Crumley
- Title
- Operations Manager
- Phone
- (208) 985-3575
Registered specialties (4)
Compounding Pharmacy
Primary
Home Infusion Therapy Pharmacy
Mail Order Pharmacy
Specialty Pharmacy
Registry record
- NPI
- 1033917810
- Entity type
- Organization
- NPI issued
- 6 Mar 2025
- Record last updated
- 24 Mar 2025
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.