MRS. Elizabeth Jean Shively, R.PH.

NPI #1205137361 in Casper, Wyoming

Provider Information

NPI Number: 1205137361
Entity Type: Individual
Name: MRS. Elizabeth Jean Shively, R.PH.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: R.PH.
Enumeration Date: Nov 5, 2010
Last Updated: Nov 5, 2010

Practice Location

Address: 1375 CY AVE
City: Casper
State: Wyoming
ZIP Code: 82604-3513
Phone: (307) 234-7949

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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