Individual
LEONARD SHETLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
CVS PHARMACY, 975 N 00 EW, LAGRANGE, IN 46761-4676
(260) 463-2583
Mailing address
57271 COUNTY ROAD 23, GOSHEN, IN 46528-7097
(574) 536-6260
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26016450A
IN
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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