St Alphonsus Regional Med

NPI #1083794598 in Boise, Idaho

Provider Information

NPI Number
1083794598
Entity Type
Organization
Organization Name
St Alphonsus Regional Med
Subpart
Yes (part of a larger organization)
Parent Organization
ST ALPHONSUS REGIONAL MED
Primary Specialty
Pharmacy
Enumeration Date
Oct 17, 2006
Last Updated
Oct 17, 2024

Practice Location

Address
1055 N CURTIS RD
City
Boise
State
Idaho
ZIP Code
83706
Phone
(208) 367-3069

Authorized Official

Name
BRIAN LANNIE CHECKETTS
Title
CFO AND BOARD MEMBER
Phone
(208) 367-2844

Specialties & Taxonomy Codes

Specialty
Pharmacy

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