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Individual

SHAWN JOSEPH AUCOIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
1150 S 100 W, LOGAN, UT 84321-5573
(435) 787-4143
(435) 787-4176
Mailing address
75 N 200 E, LOGAN, UT 84321-4603
(435) 213-3757

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
16831
LA
183500000X
Pharmacist
Primary
5140587-1701
UT
183500000X
Pharmacist
E-09140
MS

Other

Enumeration date
06/10/2006
Last updated
01/06/2011
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