OrganizationActive
St Luke'S Reg Med Ctr Employee Outpt Pharmacy
NPI 1023010642 · Pharmacy · Boise, ID
Provider details
- NPI number
- 1023010642
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Organization subpart
- No
- Authorized official
- James Normark, Operation Manager, Outpt Pharmacy(208) 381-4354
- License
- 1019CP (ID)
Specialties & taxonomies
Suppliers
Practice location
190 E Bannock St
Boise, ID 83712-6241
Phone: (208) 381-4353
Fax: (208) 381-4355
Approximate (ZIP-level) locationGet directions
Mailing address
190 E Bannock St
Boise, ID 83712-6241
Other names (DBA / former)
- Other name
- St Luke'S Eop
Registry dates
- Enumerated
- 2005-08-12
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.