| NPI | 1639920051 |
|---|---|
| Doing Business As | HEARTLAND PHARMACY - IDAHO FALLS |
| Entity Type | Organization |
| Authorized Contact | REECE CHRISTENSEN President/Owner 208-497-3575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 333600000X Pharmacy | |
| 3336C0004X Pharmacy, Compounding Pharmacy | |
| Enumeration Date | 2024-04-01 |
| Last Update Date | 2024-08-02 |