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Ed Snell'S Pharmacy Shop

Pharmacy, Community/Retail Pharmacy in Pocatello, ID. Organization (NPI-2).

NPI number1356367486
StatusActive
Last updated in NPPESJun 5, 2008

Details

NPI
1356367486
Entity type
Organization (NPI-2)
Legal business name
Ed Snell'S Pharmacy Shop
Organization subpart
No
Enumeration date
Jul 14, 2006
Last updated
Jun 5, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0003X Pharmacy, Community/Retail PharmacyP4033IDYes

Practice location

1015 E Young St
Pocatello, ID 83201-5282

Phone 208-232-0049 · Fax 208-232-3963

Mailing address

1015 E Young St
Pocatello, ID 83201-5282

Phone 208-232-0049 · Fax 208-232-3963

Authorized official

Ed Snell
President
2082320049

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