Individual
LESTER RAY SHINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3840 E 104TH AVE, THORNTON, CO 80233-4436
(303) 255-0587
(303) 255-0435
Mailing address
3840 E 104TH AVE, THORNTON, CO 80233-4436
(303) 255-0587
(303) 255-0435
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12770
CO
Other
Enumeration date
05/24/2017
Last updated
07/21/2022
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