OrganizationActive
Pharmerica Drug Systems Inc
NPI 1912930587 · Long Term Care Pharmacy · Boise, ID
Provider details
- NPI number
- 1912930587
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Authorized official
- Pebbles Pangrazio, Contract Administrator
- License
- 1814LS (ID)
Practice location
8211 Ustick Rd
Boise, ID 83704-5756
Phone: (208) 323-1086
Fax: (208) 323-5904
Mailing address
Po Box 409244
Atlanta, GA 30384-9244
Registry dates
- Enumerated
- 2006-07-08
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.