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ED SNELLS PHARMACY SHOP

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Company Details

Name: ED SNELLS PHARMACY SHOP
Jurisdiction: Idaho
Legal type: Assumed Business Name
Status: Active-Current
Date of registration: 25 Jul 2014 (11 years ago)
Entity Number: 523331
Place of Formation: IDAHO
File Number: 0000523331
ZIP code: 83201
County: Bannock County
Mailing Address: 1015 E YOUNG ST POCATELLO, ID 83201

National Provider Identifier

NPI Number:
1356367486

Authorized Person:

Name:
MR. ED SNELL
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
3336C0003X - Community/Retail Pharmacy
Is Primary:
Yes

Contacts:

Fax:
2082323963

Filing

Filing Name Filing Number Filing date
Initial Filing 0000523331 2014-07-25

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Date of last update: 26 Sep 2024

Sources: Idaho Secretary of State