Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
PHARMACY SHOP INC
Active
Organization
PHARMACY SHOP INC
Active
Other names
ED SNELLS PHARMACY SHOP
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ED SNELL (OWNER)
(208) 233-0049
Entity
Organization
Contact information
Practice address
1015 E YOUNG ST, POCATELLO, ID 83201-5282
(208) 233-0049
Mailing address
1015 E YOUNG ST, POCATELLO, ID 83201-5282
(208) 233-0049
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002631600
—
ID
Enumeration date
06/05/2008
Last updated
04/14/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up