Pharmacy Shop Inc is a Pharmacy in Pocatello, Idaho. Pharmacy Shop Inc practices all healthcare services and medical treatments related to Pharmacy. The NPI Number for Pharmacy Shop Inc is 1295897171. The last update date is 2008-06-06.
Pharmacy Shop Inc's current location address is 1015 E Young, Pocatello, Idaho. You can contact this provider via phone number 2082320049 and fax number 2082323963. The mailing address for Pharmacy Shop Inc is 1015 E Young, Pocatello, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pharmacy Shop Inc |
|---|---|
| Address | 1015 E Young, Pocatello, Idaho |
| Phone Number | 2082320049 |
| Fax Number | 2082323963 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Snell L Edward |
| Credentials | RPH CCN |
| Telephone Number | 2082320049 |
NPI Number Detail
| NPI Number | 1295897171 |
|---|---|
| Provider Enumeration Date | 2006-12-15 |
| Last Updated Date | 2008-06-06 |
Provider Mailing Address Detail
| Address | 1015 E Young |
|---|---|
| City | Pocatello |
| State | Idaho (ID) |
| Post Code | 83201 |
| Phone Number | 2082320049 |
| Fax Number | 2082323963 |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacy |
|---|---|
| Taxonomy | 333600000X |
| Licence No | 801CP |
|
Definition: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense presc |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2631400 | ID | MEDICAID | |
| 2631600 | ID | -- | |
| 8C451 | ID | PRIVATE INS BLUE CROSS |
Post Comment/ Review Below
What is the Pharmacy Shop Inc's 1295897171?
The Pharmacy Shop Inc's NPI (National Provider Identifier) Number is 1295897171. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Pharmacy Shop Inc's physical address?
The Pharmacy Shop Inc is physically located at 1015 E Young, in the city of Pocatello, ID, with the postal code 83201.
What is the Pharmacy Shop Inc's area of specialization and corresponding taxonomy classification?
The Pharmacy Shop Inc's specialty field is Pharmacy, and it falls under the taxonomy code 333600000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1295897171 to Pharmacy Shop Inc?
The Centers for Medicare & Medicaid Services assigned the 1295897171 to Pharmacy Shop Inc on 2006-12-15.
As of what date was the information regarding Pharmacy Shop Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Pharmacy Shop Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-06-06.
NPI Number: 1235130048
Address: 1770 N Orange Grove Ave Ste 101, Pomona, CA