GUARDIAN PHARMACY OF IDAHO FALLS, LLC

Long Term Care Pharmacy · AMMON, ID

Organization Active NPI 1639920051

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
20242056$4,800$3,807$3,807

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
G0008Administration of influenza virus vaccine19$30$30
90653Influenza vaccine, inactivated17$82$82

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Long Term Care Pharmacy3336L0003X
Durable Medical Equipment & Medical Supplies332B00000X
Pharmacy333600000X
Compounding Pharmacy3336C0004X

Other Long Term Care Pharmacy providers in Idaho

See all Long Term Care Pharmacy providers in Idaho

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.

GUARDIAN PHARMACY OF IDAHO FALLS, LLC — NPI 1639920051