OrganizationActive
Continued Care Ltc Pharmacy Idaho LLC
NPI 1609430479 · Long Term Care Pharmacy · Boise, ID
Provider details
- NPI number
- 1609430479
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Brandon Hagen, General Manager(888) 557-4318
Specialties & taxonomies
Suppliers
Practice location
9196 W Emerald St Ste 125
Boise, ID 83704-9049
Phone: (888) 277-2132
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1250
Riverton, UT 84065-1250
Registry dates
- Enumerated
- 2019-04-27
- Last updated
- 2024-08-13
- Certified
- 2024-08-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.