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NPI 1619507761

OrganizationActive

Hells Canyon Health and Wellness Pharmacy

NPI 1619507761 · Long Term Care Pharmacy · Lewiston, ID

Provider details

NPI number: 1619507761
Entity type: Organization
Primary specialty: Long Term Care PharmacySuppliers
Parent organization: Hells Canyon Health and Wellness Pharmacy
Organization subpart: Yes
Authorized official: Charles Pottenger, Owner(208) 743-5515

Specialties & taxonomies

Long Term Care PharmacyPrimary3336L0003X
Suppliers

Practice location

523 Thain Rd

Lewiston, ID 83501-5530

Phone: (208) 743-5515

Approximate (ZIP-level) locationGet directions

More ID providers

Mailing address

523 Thain Rd

Lewiston, ID 83501-5530

Other names (DBA / former)

Doing business as: Hells Canyon Pharmacy Ltc

Registry dates

Enumerated: 2020-01-16
Last updated: 2020-01-16
Certified: 2020-01-16

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

Hells Canyon Health and Wellness Pharmacy — NPI 1619507761, Lewiston, ID | NPI Central