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Heartland Pharmacy - Boise — NPI 1710056445, Boise, ID | NPI Central

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NPI 1710056445

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Heartland Pharmacy - Boise

NPI 1710056445 · Long Term Care Pharmacy · Boise, ID

Provider details

NPI number: 1710056445
Entity type: Organization
Primary specialty: Long Term Care PharmacySuppliers
Organization subpart: No
Authorized official: Andrea Ferguson, Executive Assistant(208) 497-3575

Specialties & taxonomies

Long Term Care PharmacyPrimary3336L0003XLicense 1679LS (ID)
Suppliers
Pharmacy333600000X
Suppliers

Practice location

8455 W Emerald St

Boise, ID 83704-8306

Phone: (208) 323-0067

Fax: (208) 323-5954

Approximate (ZIP-level) locationGet directions

More ID providers

Mailing address

1790 Sabin Dr

Ammon, ID 83406-6747

Other names (DBA / former)

Doing business as: Heartland Ltc Pharmacy
Doing business as: Heartland Ltc Pharmacy

Registry dates

Enumerated: 2006-11-07
Last updated: 2020-11-13
Certified: 2020-11-13

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