MR. Larry John Shutack, RPH

NPI #1790077048 in Juneau, Alaska

Provider Information

NPI Number: 1790077048
Entity Type: Individual
Name: MR. Larry John Shutack, RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: May 4, 2011
Last Updated: May 4, 2011

Practice Location

Address: 5225 COMMERCIAL BLVD
City: Juneau
State: Alaska
ZIP Code: 99801-7210
Phone: (907) 780-2261

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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