Guardian Pharmacy of Idaho Falls, LLC

NPI #1639920051 in Ammon, Idaho

Provider Information

NPI Number: 1639920051
Entity Type: Organization
Organization Name: Guardian Pharmacy of Idaho Falls, LLC
Primary Specialty: Pharmacy - Long Term Care Pharmacy
Enumeration Date: Apr 1, 2024
Last Updated: Aug 2, 2024

Practice Location

Address: 3250 E 17TH ST
City: Ammon
State: Idaho
ZIP Code: 83406-6758
Phone: (208) 552-7677

Authorized Official

Name: REECE CHRISTENSEN
Title: PRESIDENT/OWNER
Phone: (208) 497-3575

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Pharmacy	333600000X
Pharmacy - Compounding Pharmacy — Compounding Pharmacy	3336C0004X
Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy	3336L0003X	Primary

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