Lewis And Clark Pharmacy | |
1203 Idaho Street Lewiston ID 83501-1940 | |
(208) 848-8300 | |
(208) 848-8303 |
Full Name | Lewis And Clark Pharmacy |
---|---|
Speciality | Pharmacy - Clinic Pharmacy |
Location | 1203 Idaho Street, Lewiston, Idaho |
Authorized Official Name and Position | Aaron Wilson (CEO) |
Authorized Official Contact | 5094448888 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lewis And Clark Pharmacy 611 N Iron Bridge Way Spokane WA 99202-4932 Ph: (509) 444-8888 | Lewis And Clark Pharmacy 1203 Idaho Street Lewiston ID 83501-1940 Ph: (208) 848-8300 |
NPI Number | 1437401148 |
---|---|
Provider Enumeration Date | 10/04/2012 |
Last Update Date | 01/25/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437401148 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Secondary |
3336C0002X | Pharmacy - Clinic Pharmacy | (* (Not Available)) | Primary |
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