Individual
STEPHEN RANDALL SHULUSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
315 W 2ND ST, LA JUNTA, CO 81050-1419
(719) 384-6616
Mailing address
2408 BELLEVIEW AVE, APT #2, LA JUNTA, CO 81050-3300
(303) 229-2228
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA.0019985
CO
Other
Enumeration date
08/08/2013
Last updated
08/08/2013
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