Ed Snells Pharmacy Shop

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

Contact Information

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

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X 801CP Idaho

Profile Details

NPI number 1295897171
LBN Legal business name Pharmacy Shop Inc
DBA Doing business as Ed Snells Pharmacy Shop
Authorized official Snell, Edward L RPH CCN
Entity Organization
Organization subpart 1 No
Enumeration date Dec 15th, 2006
Last updated Jun 6th, 2008 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1295897171 NPPES
Idaho Other 002631400 MEDICAID
Idaho MEDICAID 002631600 MEDICAID
Idaho Other 8C451 MEDICAID

Popular Providers