Organization
SUPER SAVE HIGHLAND PHARMACY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TORI DANIEL SHAVER (VICE PRESIDENT)
(208) 232-9392
Entity
Organization
Contact information
Practice address
755 HOSPITAL WAY, SUITE B1, POCATELLO, ID 83201-4869
(208) 237-9393
(208) 237-6017
Mailing address
755 HOSPITAL WAY B1, P O BOX 4869, POCATELLO, ID 83205-4869
(208) 237-9393
(208) 237-6017
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
1537CP
ID
Other
Enumeration date
09/22/2005
Last updated
08/22/2020
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