Individual
ROMAN SHEPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4230 DON KING RD, KETCHIKAN, AK 99901-9047
(907) 247-2156
Mailing address
2417 TONGASS AVE # 108-111, KETCHIKAN, AK 99901-5900
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
203000
AK
Other
Enumeration date
03/03/2023
Last updated
03/03/2023
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