Individual
SHANE CASLAVKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2015 2ND AVE STE 204, SUMMERVILLE, SC 29486-7889
(843) 793-6980
Mailing address
3125 NOBLE AVE N, GOLDEN VALLEY, MN 55422-3014
(763) 234-7155
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
121907
MN
Other
Enumeration date
12/11/2025
Last updated
12/11/2025
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