OrganizationActive
Guardian Pharmacy of Idaho Falls, LLC
NPI 1639920051 · Long Term Care Pharmacy · Ammon, ID
Provider details
- NPI number
- 1639920051
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Reece Christensen, President/Owner(208) 497-3575
Specialties & taxonomies
Suppliers
Suppliers
- Pharmacy333600000X
Suppliers
- Compounding Pharmacy3336C0004X
Suppliers
Practice location
3250 E 17th St
Ammon, ID 83406-6758
Phone: (208) 552-7677
Fax: (208) 552-2098
Approximate (ZIP-level) locationGet directions
Mailing address
1790 Sabin Dr
Ammon, ID 83406-6747
Other names (DBA / former)
- Doing business as
- Heartland Pharmacy - Idaho Falls
- Doing business as
- Heartland Pharmacy - Idaho Falls
Registry dates
- Enumerated
- 2024-04-01
- Last updated
- 2024-08-02
- Certified
- 2024-08-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.