| NPI | 1083720494 |
|---|---|
| Doing Business As | SHAVER PHARMACY AND COMPOUNDING CENTER |
| Entity Type | Organization |
| Authorized Contact | LORRI SHAVER Owner 208-235-7244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: ID 2104RP) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 3336S0011X Pharmacy, Specialty Pharmacy | |
| 3336M0003X Pharmacy, Managed Care Organization Pharmacy | |
| 333600000X Pharmacy | |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: MT PHA-MOP-LIC-16394) | |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2017-03-10 |