Idaho Cvs Pharmacy LLC

NPI #1982626891 in Lewiston, Idaho

Provider Information

NPI Number
1982626891
Entity Type
Organization
Organization Name
Idaho Cvs Pharmacy LLC
Primary Specialty
Pharmacy
Enumeration Date
Jul 24, 2006
Last Updated
Sep 10, 2025

Practice Location

Address
1904 19TH AVENUE
Address 2
LEWISTON CENTER
State
Idaho
ZIP Code
83501-4069
Phone
(208) 743-9127

Authorized Official

Name
SUSAN F COLBERT
Title
SR. DIRECTOR, PAYER RELATIONS
Phone
(401) 765-1500

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy
Pharmacy

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