Individual
LAWRENCE KENNETH SHANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D
Contact information
Practice address
2940 MAIN ST, PERU, NY 12972-2926
(518) 643-2318
(518) 643-0010
Mailing address
PO BOX 86, PERU, NY 12972-0086
(518) 643-2324
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051515-1
NY
1835P1200X
Pharmacotherapy Pharmacist
Primary
051515-1
NY
Other
Enumeration date
05/24/2007
Last updated
09/11/2025
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