Ed Snell'S Pharmacy Shop

LBN: Ed Snell'S Pharmacy Shop
Ed Snell'S Pharmacy Shop is an health care organization with primary practice located at 1015 E Young St , Pocatello ID 83201-5282. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. Ed Snell'S Pharmacy Shop can be contacted via phone (208) 232-0049, or through Snell, Ed via phone (208) 232-0049.

Contact Information

Primary practice address
1015 E Young St Pocatello ID 83201-5282
Phone: (208) 232-0049
Fax: (208) 232-3963
Website:
Map and Directions
Authorized official contact:
Name: Snell, Ed RPH, CCN
Phone: (208) 232-0049

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X P4033 Idaho

Profile Details

NPI number 1356367486
LBN Legal business name Ed Snell'S Pharmacy Shop
DBA Doing business as
Authorized official Snell, Ed RPH, CCN
Entity Organization
Organization subpart 1 No
Enumeration date Jul 14th, 2006
Last updated Jun 5th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356367486 NPPES
Idaho Other 8C451 BLUE CROSS OF IDAHO ID #
Idaho Other 000010013849 BLUE CROSS OF IDAHO ID #
Idaho MEDICAID 002631600 BLUE CROSS OF IDAHO ID #

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