Whalio Doctors

NPI 1083720494

Shaver Holdings INC

Organisation Community/Retail Pharmacy Pocatello, ID

Practice location

Address
235 S 4th Ave, Pocatello, ID 83201-6438
Phone
(208) 233-3341
Fax
(208) 233-3343

Authorised official

Name
Lorri Shaver
Title
Owner
Phone
(208) 235-7244

Registered specialties (7)

Community/Retail Pharmacy Primary
Suppliers Taxonomy 3336C0003X Licence 2104RP (ID)
Durable Medical Equipment & Medical Supplies
Suppliers Taxonomy 332B00000X Licence PHA-MOP-LIC-16394 (MT)
Oxygen Equipment & Supplies (DME)
Suppliers Taxonomy 332BX2000X
Pharmacy
Suppliers Taxonomy 333600000X
Compounding Pharmacy
Suppliers Taxonomy 3336C0004X
Managed Care Organization Pharmacy
Suppliers Taxonomy 3336M0003X
Specialty Pharmacy
Suppliers Taxonomy 3336S0011X

Registry record

NPI
1083720494
Entity type
Organization
NPI issued
21 Aug 2006
Record last updated
10 Mar 2017

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.