NPI age
19 years
Enumerated 2006-08-29
Across 397 active pharmacy providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (WA) | 6011530 | |
| 01 | 1305451 | OTHER ID NUMBER-COMMERCIAL NUMBER |
| 05 (ID) | 804029200 | |
| 01 (WA) | 6011530 | MEDICAID DME |
Doing-business-as, former, and alternate names recorded by NPPES.
Single-site organization. Only one practice location on file.
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →