Pharmerica Drug Systems Inc
Organization Active NPI Long Term Care Pharmacy · Boise, ID
NPI 1912930587 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1912930587
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Long Term Care Pharmacy 3336L0003X
- License
- 1814LS (ID)
- Legal business name
- PHARMERICA DRUG SYSTEMS INC
- Practice address
- 8211 Ustick Rd
Boise, ID 83704-5756 - Phone
- (208) 323-1086
- Fax
- (208) 323-5904
- NPI assigned
- Jul 8, 2006
- Organization subpart
- No
Authorized official
- Name
- Pebbles Pangrazio
- Title
- Contract Administrator
- Phone
- (877) 975-2273
Corporate family (same tax ID) 20
National Provider Directory
- Tax ID family
- Pharmerica Drug Systems Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | 1814LS | ID | Yes |
Addresses
Primary practice location
8211 Ustick Rd
Boise, ID 83704-5756
Mailing address
PO Box 409244
Atlanta, GA 30384-9244
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0230401 | Medicaid | MT | |
| 1307405 | Other | OTHER ID NUMBER-COMMERCIAL NUMBER | |
| PH521ID | Medicaid | AK |
Other names
- PHARMERICA
Other providers in Boise, ID
- Ngan Pham
- Ryan Pham
- Tuan Duc Pham
- Brennen Phan
- Pharmacy Solutions, Inc.
- Mark Aaron Phelan
- Sarah Harley Phelan
- Philip D Jensen MD Chartered
- Alexis Phillips
- Andrew Phillips
All providers in Boise, ID · Long Term Care Pharmacy in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.