Lifefill I, Llc
Pharmacy
12639 W Explorer Dr Ste 125, Boise
Idaho, 83713-1887
866-898-9368 855-251-0222
Lifefill I, Llc is a Pharmacy in Boise, Idaho. It is located at 12639 W Explorer Dr Ste 125, Boise and it's customer support contact number is 866-898-9368. The authorized person of Lifefill I, Llc is Michael Nameth who is Evp, Cloud And Specialty Pharmacy of the pharmacy and his contact number is 646-201-9585.
Lifefill I, Llc is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Pharmacy Details:
Lifefill I, Llc 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: | Lifefill I, Llc |
| Type: | Pharmacy |
| Location: | 12639 W Explorer Dr Ste 125, Boise,
Idaho, 83713-1887 |
| Phone: | 866-898-9368 |
| Fax: | 855-251-0222 |
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: | Michael Nameth |
| Position: | Evp, Cloud And Specialty Pharmacy |
| Contact Number: | 646-201-9585 |
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: | 1225959968 |
| NPI Enumeration Date: | 21 Jul, 2026 |
| NPI Last Update On: | 09 Sep, 2026 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Lifefill I, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacy | | | 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 |
| 1781728 | Other | Idaho | Board Of Pharmacy |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1407 Broadway Rm 1910,
New York, New York |
| Zip: | 10018-2874 |
| Phone Number: | -- |
Patients can reach Lifefill I, Llc at
12639 W Explorer Dr Ste 125, Boise, Idaho or can
call on customer care at 866-898-9368.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 September, 2026.