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Weport Medical Pharmacy — NPI 1386599371, Boise, ID | NPI Central

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NPI 1386599371

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Weport Medical Pharmacy

NPI 1386599371 · Long Term Care Pharmacy · Boise, ID

Provider details

NPI number: 1386599371
Entity type: Organization
Primary specialty: Long Term Care PharmacySuppliers
Organization subpart: No
Authorized official: Khaled Eldemerdash, Managing Director(816) 405-2406

Specialties & taxonomies

Long Term Care PharmacyPrimary3336L0003X
Suppliers
Mail Order Pharmacy3336M0002X
Suppliers
Compounding Pharmacy3336C0004X
Suppliers
Institutional Pharmacy3336I0012X
Suppliers

Practice location

1220 S Vista Ave Ste a

Boise, ID 83705-2530

Phone: (816) 405-2406

Approximate (ZIP-level) locationGet directions

More ID providers

Mailing address

1220 S Vista Ave Ste a

Boise, ID 83705-2530

Registry dates

Enumerated: 2026-03-04
Last updated: 2026-03-30
Certified: 2026-03-30

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