NPI 1053092130

St Lukes Regional Medical Center

Organisation Home Infusion Therapy Pharmacy Meridian, ID

Practice location

Address: 703 S Black Cat Rd STE 120, Meridian, ID 83642-6103
Phone: (208) 381-6161
Fax: (208) 381-6160
Mailing address: PO Box 640, Boise, ID 83701-0640

Authorised official

Name: Kathryn Fowler
Title: Senior Vp, Cfo
Phone: (208) 381-8717

Registered specialties (2)

Home Infusion Therapy Pharmacy Primary

Suppliers Taxonomy 3336H0001X

Other Pharmacy providers in Idaho →

Infusion Therapy Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QI0500X

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Registry record

NPI: 1053092130
Entity type: Organization
NPI issued: 31 Jul 2023
Record last updated: 20 Apr 2026

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.