Individual
SHELBY LANCASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
414 MAIN ST, GOODING, ID 83330-1315
(208) 934-4000
Mailing address
414 MAIN ST, GOODING, ID 83330-1315
(208) 934-4000
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P7516
ID
Other
Enumeration date
08/24/2016
Last updated
08/24/2016
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