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 St , Pocatello ID 83201-5282. The organization recently has only one registered license in Suppliers / Oxygen Equipment & Supplies, which is considered as the primary health care specialty. Pharmacy Shop Inc can be contacted via phone (208) 233-0049, or through Snell, Ed via phone (208) 233-0049.

Contact Information

Primary practice address
1015 E Young St Pocatello ID 83201-5282
Phone: (208) 233-0049
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Snell, Ed
Phone: (208) 233-0049

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Oxygen Equipment & Supplies 332BX2000X Idaho

Profile Details

NPI number 1487813457
LBN Legal business name Pharmacy Shop Inc
DBA Doing business as Ed Snells Pharmacy Shop
Authorized official Snell, Ed
Entity Organization
Organization subpart 1 No
Enumeration date Jun 5th, 2008
Last updated Apr 14th, 2011 - about 15 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 1487813457 NPPES
Idaho MEDICAID 002631600

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