National Provider Identifier Database

PHARMACY SHOP INC
Pharmacy

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 prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.


Contact Information

PHARMACY SHOP INC
1015 E YOUNG
POCATELLO, ID83201
Phone: 208-232-0049
Fax: 208-232-3963
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for PHARMACY SHOP INC

NPI Number 1295897171
Legal business name
LBN
PHARMACY SHOP INC
Authorized official EDWARD SNELL - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 12/15/2006
Last updated 06/06/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • ID License #: 801CP
  • ID Medicaid: 002631600
  • ID Other: 002631400 MEDICAID
  • ID Other: 8C451 PRIVATE INS BLUE CROSS

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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