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Pharmerica Mountain LLC — NPI 1760494033, Meridian, ID | NPI Central

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NPI 1760494033

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Pharmerica Mountain LLC

NPI 1760494033 · Long Term Care Pharmacy · Meridian, ID

Provider details

NPI number: 1760494033
Entity type: Organization
Primary specialty: Long Term Care PharmacySuppliers
Parent organization: Pharmerica Corporation
Organization subpart: Yes
Authorized official: Allison Brown, Secretary(502) 630-7429
License: 1929LS (ID)

Specialties & taxonomies

Long Term Care PharmacyPrimary3336L0003XLicense 1929LS (ID)
Suppliers

Practice location

2950 E Magic View Dr Ste 190

Meridian, ID 83642

Phone: (208) 887-1951

Fax: (208) 895-9825

Approximate (ZIP-level) locationGet directions

More ID providers

Mailing address

805 N Whittington Pkwy

Louisville, KY 40222-7101

Other names (DBA / former)

Doing business as: Pharmerica
Doing business as: Pharmerica

Registry dates

Enumerated: 2006-08-13
Last updated: 2024-02-13
Certified: 2024-02-13

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