| NPI | 1649332768 |
|---|---|
| Doing Business As | ST. LUKE'S OUT PATIENT PHARMACY |
| Doing Business As | ST LUKES PHARMACY - BOISE VACCINES |
| Entity Type | Organization |
| Authorized Contact | KELLEY CURTIS Chief Pharmacy Officer 208-493-2307 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy (Licence: ID 1019CP) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2022-12-08 |