Mcnicholas, LLC

NPI #1356089973 in Boise, Idaho

Provider Information

NPI Number: 1356089973
Entity Type: Organization
Organization Name: Mcnicholas, LLC
Primary Specialty: Home Infusion
Enumeration Date: May 24, 2022
Last Updated: Nov 6, 2025

Practice Location

Address: 12828 W LASALLE ST STE 101
City: Boise
State: Idaho
ZIP Code: 83713-1517
Phone: (623) 670-1625

Authorized Official

Name: JAMES M. MCNICHOLAS
Title: MANAGING MEMBER
Phone: (623) 670-1625

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy - Home Infusion Therapy Pharmacy — Home Infusion Therapy Pharmacy	3336H0001X
Durable Medical Equipment & Medical Supplies	332B00000X
Durable Medical Equipment & Medical Supplies - Parenteral & Enteral Nutrition — Parenteral & Enteral Nutrition	332BP3500X
Pharmacy	333600000X
Home Infusion	251F00000X	Primary

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