NPI 1164267373
Full Circle Health, INC.
Practice location
- Address
- 315 E Elm St # 201, Caldwell, ID 83605-4857
- Phone
- (208) 954-8707
- Fax
- (208) 954-8708
- Mailing address
- 777 N Raymond St, Boise, ID 83704-9251
Authorised official
- Name
- Jared Lee Moore
- Title
- Director of Pharmacy Services
- Phone
- (208) 514-2512
Registered specialties
Community/Retail Pharmacy
Primary
Registry record
- NPI
- 1164267373
- Entity type
- Organization
- NPI issued
- 28 Jun 2024
- Record last updated
- 28 Jun 2024
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.