Individual
MRS. ELIZABETH JEAN SHIVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
1375 CY AVE, CASPER, WY 82604-3513
(307) 234-7949
(307) 234-0393
Mailing address
3931 CYNTHIA DR, CASPER, WY 82609-2399
(307) 277-5700
(307) 234-0393
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2206
WY
Other
Enumeration date
11/05/2010
Last updated
11/05/2010
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