OrganizationActive
Connect Wellness
NPI 1508725623 · Compounding Pharmacy · Eagle, ID
Provider details
- NPI number
- 1508725623
- Entity type
- Organization
- Primary specialty
- Compounding PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Julie Brown, Owner(208) 593-0133
Specialties & taxonomies
Suppliers
Practice location
44 N Fisher Park Way
Eagle, ID 83616-4704
Phone: (208) 593-0133
Fax: (208) 485-5272
Approximate (ZIP-level) locationGet directions
Mailing address
44 N Fisher Park Way
Eagle, ID 83616-4704
Registry dates
- Enumerated
- 2026-01-16
- Last updated
- 2026-01-16
- Certified
- 2026-01-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.