Individual
KEVIN ANDREW SHUMWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
111 S 5TH ST, DOUGLAS, WY 82633-2434
(307) 358-1416
(307) 358-1443
Mailing address
111 S 5TH ST, DOUGLAS, WY 82633-2434
(307) 358-1416
(307) 358-1443
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4483
WY
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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