institution
Pharmacy Shop Inc
Pharmacy in Pocatello, Idaho
NPI 1295897171

Pharmacy Shop Inc is a Pharmacy based in Pocatello, ID. Pharmacy Shop Inc practices in Pocatello, ID. The NPI Number for Pharmacy Shop Inc is 1295897171 and holds a License No. 801CP (Idaho).

The current practice location address for Pharmacy Shop Inc is 1015 E Young, Pocatello, ID and can be reached out via phone at 208-232-0049 and via fax at 208-232-3963.

Location: 1015 E Young, Pocatello, ID, 83201
institution
Provider Profile Details
NPI Number
1295897171
Provider Name
Pharmacy Shop Inc
Credential
Provider Entity Type
Organization
Address
1015 E Young, Pocatello, ID, 83201
Phone Number
208-232-0049
Fax Number
208-232-3963
Provider Enumeration Date
12/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
002631400 01 ID MEDICAID
002631600 05 ID
8C451 01 ID PRIVATE INS BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
1015 E Young
City
State
Zip
83201
Phone Number
208-232-0049
Fax Number
208-232-3963
person
Provider Business Mailing Address Details
Address
1015 E Young
City
State
Zip
83201
Phone Number
208-232-0049
Fax Number
208-232-3963
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
License No.
801CP (Idaho)
Definition
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.
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