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Idaho Pharmacy, LLC — NPI 1932977600, Eagle, ID | NPI Central

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NPI 1932977600

OrganizationActive

Idaho Pharmacy, LLC

NPI 1932977600 · Long Term Care Pharmacy · Eagle, ID

Provider details

NPI number: 1932977600
Entity type: Organization
Primary specialty: Long Term Care PharmacySuppliers
Organization subpart: No
Authorized official: James Hunt, Managing Member(208) 229-5539

Specialties & taxonomies

Long Term Care PharmacyPrimary3336L0003X
Suppliers

Practice location

1079 S Ancona Ave Ste 140

Eagle, ID 83616-5539

Phone: (208) 965-9105

Approximate (ZIP-level) locationGet directions

More ID providers

Mailing address

1079 S Ancona Ave Ste 140

Eagle, ID 83616-5539

Other names (DBA / former)

Former legal business name: Idaho Pharmacy, LLC

Registry dates

Enumerated: 2023-12-13
Last updated: 2025-10-29
Certified: 2025-10-29

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