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Contact Information

BOUNDARY COMMUNITY HOSPITAL PHARMACY
6640 KANIKSU ST
BONNERS FERRY, ID83805-7532
 Phone: 208-267-3141
 Fax: 208-267-2862
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Institutional Pharmacy

3336I0012X 58 Medical Supply Company with Pharmacist
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for BOUNDARY COMMUNITY HOSPITAL PHARMACY

NPI # 1568517811
LBN Legal business name BOUNDARY COMMUNITY HOSPITAL PHARMACY
Authorized official APRIL BENNETT - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 01/25/2007
Last updated 06/28/2022 - About 4 years ago
Identifiers
ID License # 745HP
ID Medicaid 002810400
Other 2020837 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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