Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Innovative Care Pharmacy

Organization Long Term Care Pharmacy · NPI 1528055324

Innovative Care Pharmacy is a Long Term Care Pharmacy in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2005.

Licensed in
ID
In the registry since
2005

Practice location Address checks out

9196 E Emerald St Ste 110
Boise, ID 83704
Phone: (208) 323-1259
Fax: (208) 323-5666
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Long Term Care Pharmacy (primary) Taxonomy 3336L0003X · Licence 2304LS (ID)

Record details

NPI number1528055324
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brad Lanham — President/Ceo · (817) 328-6421
Other names Innovative Care Pharmacy Llc
NPI enumeratedOctober 5, 2005
Last updated in NPPESMay 7, 2013
Mailing address9196 E Emerald St, Ste 110, Boise, ID 83704

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