13D1058147 CLIA NUMBER - SHAVER PHARMACY & COMPOUNDING CENTER

Laboratory Demographics

CLIA Number: 13D1058147

Facility Name: SHAVER PHARMACY & COMPOUNDING CENTER

Facility Address:
235 S 4TH AVE
POCATELLO, ID
ZIP 83201
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Facility Phone Number: (208) 233-3341

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1083720494

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	13D1058147
LAB Type	PHYSICIAN OFFICE
Facility Name	SHAVER PHARMACY & COMPOUNDING CENTER
Street	235 S 4TH AVE
City	POCATELLO
State	ID
ZIP	83201
Phone	(208) 233-3341

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This page was last updated on: 5/11/2023