Latah Community Health Pharmacy
Clinic Pharmacy
803 S Main St Ste 120, Moscow
Idaho, 83843-3043
208-848-8312 208-882-5606
Latah Community Health Pharmacy is a Clinic Pharmacy in Moscow, Idaho. It is located at 803 S Main St Ste 120, Moscow and it's customer support contact number is 208-848-8312. The authorized person of Latah Community Health Pharmacy is Aaron Wilson who is Ceo of the pharmacy and his contact number is 509-444-8888. Active license number of Latah Community Health Pharmacy is 37042RP for Clinic Pharmacy in Idaho.
Latah Community Health Pharmacy is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
Pharmacy Details:
Latah Community Health 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: | Latah Community Health Pharmacy |
| Type: | Clinic Pharmacy |
| Location: | 803 S Main St Ste 120, Moscow,
Idaho, 83843-3043 |
| Phone: | 208-848-8312 |
| Fax: | 208-882-5606 |
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: | Aaron Wilson |
| Position: | Ceo |
| Contact Number: | 509-444-8888 |
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: | 1750786356 |
| NPI Enumeration Date: | 27 Oct, 2014 |
| NPI Last Update On: | 12 Mar, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Latah Community Health Pharmacy are as mentioned below.
| Specialization | License Number | State | Status | |
| Clinic Pharmacy | 37042RP | Idaho | Primary | |
| Pharmacy | | | Secondary | |
| Community/Retail Pharmacy | | | Secondary | |
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 |
| 1750786356 | Medicaid | Idaho | |
| 2148393 | Other | | Pk |
| 2073987 | Medicaid | Washington | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 611 N Iron Bridge Way,
Spokane, Washington |
| Zip: | 99202-4932 |
| Phone Number: | 509-444-8888 |
Patients can reach Latah Community Health Pharmacy at
803 S Main St Ste 120, Moscow, Idaho or can
call on customer care at 208-848-8312.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.