Idaho State Veteran Home - Lewiston
Long Term Care Pharmacy
821 21st Ave, Lewiston
Idaho, 83501-6389
208-799-3422 208-743-8833
Idaho State Veteran Home - Lewiston is a Long Term Care Pharmacy in Lewiston, Idaho. It is located at 821 21st Ave, Lewiston and it's customer support contact number is 208-799-3422. The authorized person of Idaho State Veteran Home - Lewiston is Mr. K Douglas Crafton, RPH who is Director Of Pharmacy of the pharmacy and his contact number is 208-799-3422. Active license number of Idaho State Veteran Home - Lewiston is 1042HP for Long Term Care Pharmacy in Idaho.
Idaho State Veteran Home - Lewiston is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Pharmacy Details:
Idaho State Veteran Home - Lewiston type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Idaho State Veteran Home - Lewiston |
| Type: | Long Term Care Pharmacy |
| Location: | 821 21st Ave, Lewiston,
Idaho, 83501-6389 |
| Phone: | 208-799-3422 |
| Fax: | 208-743-8833 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. K Douglas Crafton |
| Credentials: | RPH |
| Position: | Director Of Pharmacy |
| Contact Number: | 208-799-3422 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1689687261 |
| NPI Enumeration Date: | 14 Aug, 2006 |
| NPI Last Update On: | 07 Mar, 2023 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Idaho State Veteran Home - Lewiston are as mentioned below.
| Specialization | License Number | State | Status | |
| Long Term Care Pharmacy | 1042HP | Idaho | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1307102 | Other | Idaho | Ncpdp Number |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 821 21st Ave,
Lewiston, Idaho |
| Zip: | 83501-6389 |
| Phone Number: | 208-799-3422 |
| Fax Number: | 208-743-8833 |
Patients can reach Idaho State Veteran Home - Lewiston at
821 21st Ave, Lewiston, Idaho or can
call on customer care at 208-799-3422.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.