Shaver Pharmacy And Compounding Center
LBN: Shaver Holdings Inc
Shaver Pharmacy And Compounding Center is an health care organization with primary practice located at 235 S 4Th Ave , Pocatello ID 83201-6438. The organization recently has 7 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Oxygen Equipment & Supplies, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Managed Care Organization Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty.
Shaver Holdings Inc can be contacted via phone (208) 233-3341, or through Shaver, Lorri via phone (208) 235-7244.
Contact Information
Primary practice address
235 S 4Th Ave
Pocatello ID 83201-6438
Phone: (208) 233-3341
Fax: (208) 233-3343
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | PHA-MOP-LIC-16394 | Montana |
| Suppliers / Oxygen Equipment & Supplies | 332BX2000X | ||
| Suppliers / Pharmacy | 333600000X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X | 2104RP | Idaho |
| Suppliers / Compounding Pharmacy | 3336C0004X | ||
| Suppliers / Managed Care Organization Pharmacy | 3336M0003X | ||
| Suppliers / Specialty Pharmacy | 3336S0011X |
Profile Details
| NPI number | 1083720494 |
|---|---|
| LBN Legal business name | Shaver Holdings Inc |
| DBA Doing business as | Shaver Pharmacy And Compounding Center |
| Authorized official | Shaver, Lorri RPH |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 21st, 2006 |
| Last updated | Mar 10th, 2017 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083720494 | NPPES |
| Idaho | MEDICAID | 1083720494 | |
| Idaho | Other | 2021940 |
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