NPI 1023004348

Home Living Services INC

Organisation Pharmacy Pocatello, ID

Practice location

Address: 436 E Bonneville St, Pocatello, ID 83201-6406
Phone: (208) 233-3466
Fax: (208) 234-9686

Authorised official

Name: Tori Daniel Shaver
Title: Owner
Phone: (208) 232-9392

Registered specialties (2)

Pharmacy Primary

Suppliers Taxonomy 333600000X Licence 1319LS (ID)

Other Pharmacy providers in Idaho →

Long Term Care Pharmacy

Suppliers Taxonomy 3336L0003X Licence 1319LS (ID)

Registry record

NPI: 1023004348
Entity type: Organization
NPI issued: 22 Sep 2005
Record last updated: 10 Aug 2009

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.