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Squad Pharmacy

NPI 1245048503ActiveOrganization· Pharmacy· Boise, ID

Pharmacy in Boise, Idaho, registered in NPPES in December 2024. The authorized official on file is Mallika Khandelwal, Ceo.

Overview

NPI1245048503
StatusActive
Entity typeOrganization
NPI issuedDec 19, 2024
Last updated in NPPESDec 19, 2024
Certified by providerDec 19, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacy Primary333600000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Pharmacy providers in Boise

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