National Provider Identifier Database

STATE OF IDAHO DBA IDAHO STATE SCHOOL HOSPITAL PHARMACY
Institutional Pharmacy

A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.


Contact Information

STATE OF IDAHO-DBA IDAHO STATE SCHOOL & HOSPITAL PHARMACY
1660 11TH AVE N
NAMPA, ID83687-5000
Phone: 208-442-2812
Fax: 208-467-3406
Website:
Specialty Taxonomy Code
* Institutional Pharmacy 3336I0012X

* Indicates primary specialty

NPI Profile & details for STATE OF IDAHO-DBA IDAHO STATE SCHOOL & HOSPITAL PHARMACY

NPI Number 1265559314
Legal business name
LBN
STATE OF IDAHO-DBA IDAHO STATE SCHOOL & HOSPITAL PHARMACY
Authorized official SUSAN BROETJE - (ADMINISTRATIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 03/23/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • ID License #: 539-HP
  • ID Medicaid: 0028335600

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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