Organization
SHAVER HOLDINGS INC
Active
Parent organization
SHAVER HOLDINGS INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHAVER HOLDINGS INC
Authorized official
MR. DANIEL TORI SHAVER (PRESIDENT)
(208) 235-7243
Entity
Organization
Contact information
Practice address
235 S 4TH AVE, POCATELLO, ID 83201-6438
(208) 235-7243
(208) 235-7277
Mailing address
235 S 4TH AVE, POCATELLO, ID 83201-6438
(208) 235-7243
(208) 235-7277
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
—
—
Other
Enumeration date
09/06/2022
Last updated
09/06/2022
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