OrganizationActive
Shaver Holdings Inc
NPI 1902527294 · Compounding Pharmacy · Pocatello, ID
Provider details
- NPI number
- 1902527294
- Entity type
- Organization
- Primary specialty
- Compounding PharmacySuppliers
- Parent organization
- Shaver Holdings Inc
- Organization subpart
- Yes
- Authorized official
- Daniel Shaver, President(208) 235-7243
Specialties & taxonomies
Suppliers
Practice location
235 S 4th Ave
Pocatello, ID 83201-6438
Phone: (208) 235-7243
Fax: (208) 235-7277
Approximate (ZIP-level) locationGet directions
Mailing address
235 S 4th Ave
Pocatello, ID 83201-6438
Registry dates
- Enumerated
- 2022-09-06
- Last updated
- 2022-09-06
- Certified
- 2022-09-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.