NPI age
19 years
Enumerated 2006-08-10
● Active Type 2 · Organization
Glenwood Pharmacy Inc
Glenwood Pharmacy Inc is 1 of 117 pharmacy organizations in Idaho.
Primary specialty
Pharmacy
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Peterson
President
Last NPPES update
2013-08-15
Source: monthly bulk 2026-05
How this organization compares
Across 117 active pharmacy providers in Idaho.
NPI age
19 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-08Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
13040 Highway 12
Orofino, ID 835449330
Mailing address
1105 Michigan Ave
Orofino, ID 835449005
Authorized official
Patricia Peterson
President
📞 2084765727
Specialties
-
Pharmacy PrimaryA facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 2135971 | PK |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Riverside Pharmacy
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.