Individual
KAREL RAE SHANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
673 BLACK HORSE LAKE RD, FLOWEREE, MT 59440-9712
(406) 453-1529
Mailing address
673 BLACK HORSE LAKE RD, FLOWEREE, MT 59440-9712
(406) 453-1529
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
3796
MT
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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