A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other...
ID license #44701LSID license #1901LStaxonomy 3336L0003X
Identifiers
Type
Value
Notes
05 (ID)
807012000
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
Snake River Long Term Care Pharmacy
Type code 3recorded 2019-02-15
Snake River Long Term Care Pharmacy
Type code 3recorded 2017-07-20
Practice context
Multi-provider organization.
1 individual provider on file at this primary address.
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