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St Alphonsus Regional Med — NPI 1083794598, Boise, ID | NPI Central

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NPI 1083794598

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St Alphonsus Regional Med

NPI 1083794598 · Pharmacy · Boise, ID

Provider details

NPI number: 1083794598
Entity type: Organization
Primary specialty: PharmacySuppliers
Parent organization: St Alphonsus Regional Med
Organization subpart: Yes
Authorized official: Brian Checketts, Cfo and Board Member(208) 367-2844
License: 2 (ID)

Specialties & taxonomies

PharmacyPrimary333600000XLicense 2 (ID)
Suppliers

Practice location

1055 N Curtis Rd

Boise, ID 83706

Phone: (208) 367-3069

Fax: (208) 367-3016

Approximate (ZIP-level) locationGet directions

More ID providers

Mailing address

1055 N Curtis Rd

Boise, ID 83706-1309

Other names (DBA / former)

Other name: Pharmacy
Other name: Pharmacy

Registry dates

Enumerated: 2006-10-17
Last updated: 2024-10-17
Certified: 2024-10-17

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