# SUPER SAVE DRUG, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912993213
- **Authorized official:** MR. TORI DANIEL SHAVER (VICE PRESIDENT)
- **Authorized official phone:** (208) 232-9392

## Contact information

- **Practice address:** 701 EAST CENTER ST., POCATELLO, ID 83205-4869
- **Practice address phone:** (208) 233-3341
- **Practice address fax:** (208) 233-3343
- **Mailing address:** PO BOX 4869, 701 E CENTER ST., POCATELLO, ID 83205-4869
- **Mailing address phone:** (208) 233-3341
- **Mailing address fax:** (208) 233-3343

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | 824CP | ID | Yes |

## Other

- **Enumeration date:** 09/22/2005
- **Last updated:** 08/22/2020