NPI 1053012708
Pharmacy Shop INC
Practice location
- Address
- 1017 E Young St, Pocatello, ID 83201-5237
- Phone
- (208) 232-0049
- Fax
- (208) 232-3963
Authorised official
- Name
- Ranae Hill
- Title
- Student Pharmacist
- Phone
- (208) 232-0049
Registered specialties
Pharmacy
Primary
Registry record
- NPI
- 1053012708
- Entity type
- Organization
- NPI issued
- 10 Mar 2023
- Record last updated
- 10 Mar 2023
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.