Ladd Family Pharmacy Llc in Boise - Compounding Pharmacy
Ladd Family Pharmacy Llc - NPI 1134391121
Ladd Family Pharmacy Llc is a Compounding Pharmacy in Boise, Idaho. Ladd Family Pharmacy Llc practices all healthcare services and medical treatments related to Compounding 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 | Compounding Pharmacy |
---|---|
Taxonomy | 3336C0004X |
Definition: A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional pract |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
2022000 | PK | ||
M8081177 | ID | -- | |
M8081035 | ID | -- |
Post Comment/ Review Below
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 Compounding Pharmacy, and the taxonomy code that classifies this field of practice is 3336C0004X.
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.