Ladd Family Pharmacy Llc in Boise - Community/retail Pharmacy
Ladd Family Pharmacy Llc - NPI 1134391121
Ladd Family Pharmacy Llc is a Community/retail Pharmacy in Boise, Idaho. Ladd Family Pharmacy Llc practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Ladd Family Pharmacy Llc is 1134391121. The last update date is 2017-08-01.
Ladd Family Pharmacy Llc's current location address is 1109 S Broadway Ave, Boise, Idaho. You can contact this provider via phone number 2089470877 and fax number 2089470874. The mailing address for Ladd Family Pharmacy Llc is 1109 S Broadway Ave, Boise, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ladd Family Pharmacy Llc |
|---|---|
| Address | 1109 S Broadway Ave, Boise, Idaho |
| Phone Number | 2089470877 |
| Fax Number | 2089470874 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | COO |
|---|---|
| Authorized Official Name | Lundevall Jeremy |
| Credentials | CPHT |
| Telephone Number | 2089470877 |
NPI Number Detail
| NPI Number | 1134391121 |
|---|---|
| Provider Enumeration Date | 2008-03-30 |
| Last Updated Date | 2017-08-01 |
Provider Mailing Address Detail
| Address | 1109 S Broadway Ave |
|---|---|
| City | Boise |
| State | Idaho (ID) |
| Post Code | 837063626 |
| Phone Number | 2089470877 |
| Fax Number | 2089470874 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | 38076RP |
|
Definition: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing pr |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2022000 | PK | ||
| M8081177 | ID | -- | |
| M8081035 | ID | -- |
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What is the unique 10-digit identifier code issued to Ladd Family Pharmacy Llc by the Centers for Medicare & Medicaid Services?
The Ladd Family Pharmacy Llc has been assigned the NPI (National Provider Identifier) 1134391121 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Ladd Family Pharmacy Llc located?
The Ladd Family Pharmacy Llc is located at 1109 S Broadway Ave, Boise, ID 837063626.
What is Ladd Family Pharmacy Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Ladd Family Pharmacy Llc is Community/retail Pharmacy, and the taxonomy code that classifies this field of practice is 3336C0003X.
When was the Ladd Family Pharmacy Llc's 1134391121 issued?
The Ladd Family Pharmacy Llc's 1134391121 was issued on 2008-03-30.
When was the information related to Ladd Family Pharmacy Llc most recently updated or refreshed?
The details pertaining to the Ladd Family Pharmacy Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2017-08-01.