Heartland Pharmacy
LBN: Heartland Pharmacy - Idaho Falls
Heartland Pharmacy is an health care organization with primary practice located at 3250 E 17Th St , Ammon ID 83406-6758. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Long Term Care Pharmacy. Suppliers / Long Term Care Pharmacy is the primary health care specialty.
Heartland Pharmacy - Idaho Falls can be contacted via phone (208) 552-7677, or through Ferguson, Andrea via phone (208) 497-3575.
Contact Information
Primary practice address
3250 E 17Th St
Ammon ID 83406-6758
Phone: (208) 552-7677
Fax: (208) 552-2098
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Suppliers / Pharmacy | 333600000X | ||
Suppliers / Long Term Care Pharmacy | 3336L0003X | 1624LS | Idaho |
Profile Details
NPI number | 1740265420 |
---|---|
LBN Legal business name | Heartland Pharmacy - Idaho Falls |
DBA Doing business as | Heartland Pharmacy |
Authorized official | Ferguson, Andrea |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Dec 14th, 2005 |
Last updated | Dec 14th, 2020 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1740265420 | NPPES |
Montana | MEDICAID | 0212857 | |
Montana | MEDICAID | 1740265420 | |
Montana | MEDICAID | 806143700 | |
Montana | Other | 2021757 |
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