Pharmacy Shop INC

NPI #1053012708 in Pocatello, Idaho

Provider Information

NPI Number: 1053012708
Entity Type: Organization
Organization Name: Pharmacy Shop INC
Subpart: Yes (part of a larger organization)
Parent Organization: PHARMACY SHOP INC
Primary Specialty: Pharmacy
Enumeration Date: Mar 10, 2023
Last Updated: Mar 10, 2023

Practice Location

Address: 1017 E YOUNG ST
City: Pocatello
State: Idaho
ZIP Code: 83201-5237
Phone: (208) 232-0049

Authorized Official

Name: RANAE HILL
Title: STUDENT PHARMACIST
Phone: (208) 232-0049

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacy	333600000X	Primary

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