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Contact Information

CONTINUED CARE LTC PHARMACY IDAHO LLC
9196 W EMERALD ST STE 125
BOISE, ID83704-9049
 Phone: 888-277-2132
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for CONTINUED CARE LTC PHARMACY IDAHO LLC

NPI Number 1609430479
LBN Legal business name CONTINUED CARE LTC PHARMACY IDAHO LLC
Authorized official BRANDON HAGEN - (GENERAL MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/27/2019
Last updated 08/13/2024 - More than a year ago
Identifiers n/a
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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