| NPI | 1043372048 |
|---|---|
| Doing Business As | SHAVER PHARMACY & COMPOUNDING CENTER |
| Entity Type | Organization |
| Authorized Contact | DANIEL TORI SHAVER Owner 208-235-7243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: ID DME264) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2010-06-24 |