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Contact Information

SNAKE RIVER PHARMACY
4750 YELLOWSTONE AVE
CHUBBUCK, ID83202-2336
 Phone: 208-240-3733
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for SNAKE RIVER PHARMACY

NPI Number 1740717693
LBN Legal business name SNAKE RIVER PHARMACY
Authorized official BRIAN LUNT - (PHARMACIST)
Entity Organization
Organization subpart 1 No
Enumeration date 05/22/2017
Last updated 07/21/2022 - About 4 years ago
Identifiers
ID License # 44698RP
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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