Individual
MARY C SHULTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2275 COMMERCIAL ST, ASTORIA, OR 97103-3327
(503) 338-4175
Mailing address
PO BOX 190, TOPPENISH, WA 98948-0190
(509) 865-2395
(509) 865-0757
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
P5623
ID
183500000X
Pharmacist
PH00017278
WA
183500000X
Pharmacist
Primary
RPH-0019580
OR
Other
Enumeration date
03/14/2007
Last updated
03/11/2026
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