Organization
SHAVER LTC PHARMACY INC
Active
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) 023-5729
Taxonomy
Speciality
Code
Description
License number
State
3336L0003X
Long Term Care Pharmacy
Primary
740
CO
Other
Enumeration date
07/18/2008
Last updated
07/18/2008
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