Well Life Boundary Pharmacy

LBN: Foster Holdings Ltd
Well Life Boundary Pharmacy is an health care organization with primary practice located at 6603 Main St , Bonners Ferry ID 83805-8522. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Foster Holdings Ltd can be contacted via phone (208) 267-4004, or through Foster, Jeff via phone (208) 267-4004.

Contact Information

Primary practice address
6603 Main St Bonners Ferry ID 83805-8522
Phone: (208) 267-4004
Fax: (208) 267-7405
Website:
Map and Directions
Authorized official contact:
Name: Foster, Jeff
Phone: (208) 267-4004

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X 1386RP Idaho

Profile Details

NPI number 1104938042
LBN Legal business name Foster Holdings Ltd
DBA Doing business as Well Life Boundary Pharmacy
Authorized official Foster, Jeff
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Feb 3rd, 2016 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104938042 NPPES
Other 2021436 PK
MEDICAID 805978900 PK
MEDICAID 002802500 PK

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