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NPI 1104828870

IndividualActive

Ed Snell, RPH

NPI 1104828870 · Nutrition Support Pharmacist · Pocatello, ID

Provider details

NPI number: 1104828870
Entity type: Individual
Primary specialty: Nutrition Support PharmacistPharmacy Service Providers
Credential: RPH
Sex: Male
License: P4033 (ID)

Practice location

1015 E Young St

Pocatello, ID 83201-5282

Phone: (208) 232-0049

Fax: (208) 232-3963

More ID providers

Mailing address

1015 E Young St

Pocatello, ID 83201-5282

Registry dates

Enumerated: 2005-08-12
Last updated: 2007-07-08

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

Ed Snell, RPH — NPI 1104828870, Pocatello, ID | NPI Central