OrganizationActive
Idaho State Veteran Home - Lewiston
NPI 1689687261 · Long Term Care Pharmacy · Lewiston, ID
Provider details
- NPI number
- 1689687261
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- K Douglas Crafton, Director of Pharmacy(208) 799-3422
- License
- 1042HP (ID)
Specialties & taxonomies
Suppliers
Practice location
821 21st Ave
Lewiston, ID 83501-6389
Phone: (208) 799-3422
Fax: (208) 743-8833
Approximate (ZIP-level) locationGet directions
Mailing address
821 21st Ave
Lewiston, ID 83501-6389
Registry dates
- Enumerated
- 2006-08-14
- Last updated
- 2023-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.