Innovative Care Pharmacy

NPI #1528055324 in Boise, Idaho

Provider Information

NPI Number
1528055324
Entity Type
Organization
Organization Name
Innovative Care Pharmacy
Primary Specialty
Pharmacy - Long Term Care Pharmacy
Enumeration Date
Oct 5, 2005
Last Updated
May 7, 2013

Practice Location

Address
9196 E EMERALD ST
Address 2
STE 110
City
Boise
State
Idaho
ZIP Code
83704
Phone
(208) 323-1259

Authorized Official

Name
BRAD LANHAM
Title
PRESIDENT/CEO
Phone
(817) 328-6421

Specialties & Taxonomy Codes

Specialty
Pharmacy - Long Term Care PharmacyLong Term Care Pharmacy

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