Individual
TODD SHAKESPEARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1330 S PROVIDENCE, CEDAR CITY, UT 84720
(435) 586-0155
Mailing address
2232 W 2500 N, CEDAR CITY, UT 84721-8358
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
273957-1701
UT
Other
Enumeration date
11/02/2020
Last updated
11/02/2020
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