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Pure Path Compounding Pharmacy LLC — NPI 1033917810, Boise, ID | NPI Central

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NPI 1033917810

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Pure Path Compounding Pharmacy LLC

NPI 1033917810 · Compounding Pharmacy · Boise, ID

Provider details

NPI number: 1033917810
Entity type: Organization
Primary specialty: Compounding PharmacySuppliers
Organization subpart: No
Authorized official: Kevin Crumley, Operations Manager(208) 985-3575

Specialties & taxonomies

Compounding PharmacyPrimary3336C0004X
Suppliers
Home Infusion Therapy Pharmacy3336H0001X
Suppliers
Mail Order Pharmacy3336M0002X
Suppliers
Specialty Pharmacy3336S0011X
Suppliers

Practice location

2141 W Airport Way Ste 700

Boise, ID 83705-5168

Phone: (208) 985-3575

Approximate (ZIP-level) locationGet directions

More ID providers

Mailing address

2141 W Airport Way Ste 700

Boise, ID 83705-5168

Registry dates

Enumerated: 2025-03-06
Last updated: 2025-03-24
Certified: 2025-03-24

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.