NPI 1003802315
Super Save Highland Pharmacy
Practice location
- Address
- 755 Hospital Way Suite B1, Pocatello, ID 83201-4869
- Phone
- (208) 237-9393
- Fax
- (208) 237-6017
- Mailing address
- 755 Hospital Way B1 P O Box 4869, Pocatello, ID 83205-4869
Authorised official
- Name
- Tori Daniel Shaver
- Title
- Vice President
- Phone
- (208) 232-9392
Registered specialties
Pharmacy
Primary
Registry record
- NPI
- 1003802315
- Entity type
- Organization
- NPI issued
- 22 Sep 2005
- Record last updated
- 22 Aug 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.