Lost Rivers Hospital Pharmacy

NPI #1265515357 in Arco, Idaho

Provider Information

NPI Number: 1265515357
Entity Type: Organization
Organization Name: Lost Rivers Hospital Pharmacy
Subpart: Yes (part of a larger organization)
Parent Organization: LOST RIVERS DISTRICT HOSPITAL
Primary Specialty: Pharmacist
Enumeration Date: Oct 23, 2006
Last Updated: Jan 10, 2014

Practice Location

Address: 551 HIGHLAND DR
City: Arco
State: Idaho
ZIP Code: 83213
Phone: (208) 527-8206

Authorized Official

Name: BRAD HUERTA
Title: CEO
Phone: (208) 527-8206

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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