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Pharmacy Shop Inc — NPI 1053012708, Pocatello, ID | NPI Central

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NPI 1053012708

OrganizationActive

Pharmacy Shop Inc

NPI 1053012708 · Pharmacy · Pocatello, ID

Provider details

NPI number: 1053012708
Entity type: Organization
Primary specialty: PharmacySuppliers
Parent organization: Pharmacy Shop Inc
Organization subpart: Yes
Authorized official: Ranae Hill, Student Pharmacist(208) 232-0049

Specialties & taxonomies

PharmacyPrimary333600000X
Suppliers

Practice location

1017 E Young St

Pocatello, ID 83201-5237

Phone: (208) 232-0049

Fax: (208) 232-3963

Approximate (ZIP-level) locationGet directions

More ID providers

Mailing address

1017 E Young St

Pocatello, ID 83201-5237

Other names (DBA / former)

Doing business as: Snell'S Pharmacy Shop

Registry dates

Enumerated: 2023-03-10
Last updated: 2023-03-10
Certified: 2023-03-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.