Organization
SHAVER LTC PHARMACY INC
Active
Other names
HOME LIVING SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL TORI SHAVER (OWNER)
(208) 235-7243
Entity
Organization
Contact information
Practice address
8501 TURNPIKE DR, SUITE 209, WESTMINSTER, CO 80031-7041
(303) 430-6554
(303) 430-6549
Mailing address
436 E BONNEVILLE ST, POCATELLO, ID 83201-6406
(208) 233-3466
(208) 235-7296
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/24/2008
Last updated
07/24/2008
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