National Provider Identifier Database

SNAKE RIVER PHARMACY
Clinic Pharmacy

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.


Contact Information

SNAKE RIVER PHARMACY
4750 YELLOWSTONE AVE
CHUBBUCK, ID83202-2336
Phone: 208-240-3733
Fax:
Website:
Specialty Taxonomy Code
* Clinic Pharmacy 3336C0002X

* Indicates primary specialty

NPI Profile & details for SNAKE RIVER PHARMACY

NPI Number 1740717693
Legal business name
LBN
SNAKE RIVER PHARMACY
Authorized official BRIAN LUNT - (PHARMACIST)
Entity Organization
Organization subpart No
Enumeration date 05/22/2017
Last updated 07/21/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • ID License #: 44698RP

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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