Individual
DR. BROCK SHAWVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2827 POCATELLO AVE, AMERICAN FALLS, ID 83211-5444
(208) 252-9805
(208) 252-9823
Mailing address
2827 POCATELLO AVE, AMERICAN FALLS, ID 83211-5444
(208) 252-9805
(208) 252-9823
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P11040
ID
Other
Enumeration date
11/22/2023
Last updated
04/03/2024
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