Pharmacy Shop INC
Durable Medical Equipment & Medical Supplies in Pocatello, ID. Organization (NPI-2).
NPI number1679639462
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1679639462
- Entity type
- Organization (NPI-2)
- Legal business name
- Pharmacy Shop INC
- Organization subpart
- No
- Enumeration date
- Dec 28, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | 000258737S | ID | Yes |
Other names
- Snells IV & Compounding Center (Doing Business As)
Practice location
1015 E YoungPocatello, ID 83201
Phone 208-232-0049 · Fax 208-232-3963
Mailing address
1015 E YoungPocatello, ID 83201
Phone 208-232-0049 · Fax 208-232-3963
Authorized official
Edward L Snell
President
2082320049
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