Individual
DR. CALVEN KREG SHACKELFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
25 N 2000 W, HURRICANE, UT 84737-4111
(435) 635-8200
Mailing address
2829 W 750 N, HURRICANE, UT 84737-3579
(307) 679-5288
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8197454-1701
UT
Other
Enumeration date
12/28/2022
Last updated
12/28/2022
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