Innovative Care Pharmacy
Long Term Care Pharmacy
9196 E Emerald St, Ste 110, Boise
Idaho, 83704
208-323-1259 208-323-5666
Innovative Care Pharmacy is a Long Term Care Pharmacy in Boise, Idaho. It is located at 9196 E Emerald St, Ste 110, Boise and it's customer support contact number is 208-323-1259. The authorized person of Innovative Care Pharmacy is Brad Lanham who is President/ceo of the pharmacy and his contact number is 817-328-6421. Active license number of Innovative Care Pharmacy is 2304LS for Long Term Care Pharmacy in Idaho.
Innovative Care Pharmacy 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:
Innovative Care Pharmacy 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: | Innovative Care Pharmacy |
| Type: | Long Term Care Pharmacy |
| Location: | 9196 E Emerald St, Ste 110, Boise,
Idaho, 83704 |
| Phone: | 208-323-1259 |
| Fax: | 208-323-5666 |
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: | Brad Lanham |
| Position: | President/ceo |
| Contact Number: | 817-328-6421 |
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: | 1528055324 |
| NPI Enumeration Date: | 05 Oct, 2005 |
| NPI Last Update On: | 07 May, 2013 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Innovative Care Pharmacy are as mentioned below.
| Specialization | License Number | State | Status | |
| Long Term Care Pharmacy | 2304LS | 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 |
| 2021877 | Other | | Pk |
| 80668600 | Medicaid | Idaho | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 9196 E Emerald St, Ste 110
Boise, Idaho |
| Zip: | 83704 |
| Phone Number: | 208-323-1259 |
| Fax Number: | 208-323-8934 |
Patients can reach Innovative Care Pharmacy at
9196 E Emerald St, Ste 110, Boise, Idaho or can
call on customer care at 208-323-1259.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.