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Innovative Care Pharmacy — NPI 1528055324, Boise, ID | NPI Central

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NPI 1528055324

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Innovative Care Pharmacy

NPI 1528055324 · Long Term Care Pharmacy · Boise, ID

Provider details

NPI number: 1528055324
Entity type: Organization
Primary specialty: Long Term Care PharmacySuppliers
Authorized official: Brad Lanham, President/Ceo
License: 2304LS (ID)

Practice location

9196 E Emerald St

Ste 110

Boise, ID 83704

Phone: (208) 323-1259

Fax: (208) 323-5666

More ID providers

Mailing address

9196 E Emerald St

Boise, ID 83704

Registry dates

Enumerated: 2005-10-05
Last updated: 2013-05-07

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