Larry Wayne Shively, BS PHARMACY
NPI #1124116355 in Hines, Illinois
Provider Information
- NPI Number
- 1124116355
- Entity Type
- Individual
- Name
- Larry Wayne Shively, BS PHARMACY
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Credential
- BS PHARMACY
- Enumeration Date
- Oct 11, 2006
- Last Updated
- Feb 1, 2024
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist — Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
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