Pure Path Compounding Pharmacy LLC

NPI #1033917810 in Boise, Idaho

Provider Information

NPI Number
1033917810
Entity Type
Organization
Organization Name
Pure Path Compounding Pharmacy LLC
Primary Specialty
Pharmacy - Compounding Pharmacy
Enumeration Date
Mar 6, 2025
Last Updated
Mar 24, 2025

Practice Location

Address
2141 W AIRPORT WAY STE 700
City
Boise
State
Idaho
ZIP Code
83705-5168
Phone
(208) 985-3575

Authorized Official

Name
KEVIN CRUMLEY
Title
OPERATIONS MANAGER
Phone
(208) 985-3575

Specialties & Taxonomy Codes

Specialty
Pharmacy - Home Infusion Therapy PharmacyHome Infusion Therapy Pharmacy
Pharmacy - Mail Order PharmacyMail Order Pharmacy
Pharmacy - Specialty PharmacySpecialty Pharmacy
Pharmacy - Compounding PharmacyCompounding Pharmacy

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