Individual
DR. MISTY RAE SHANDERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
3700 W 10TH ST, GREELEY, CO 80634-1819
(970) 475-0192
(970) 475-0315
Mailing address
3700 W 10TH ST, GREELEY, CO 80634-1819
(970) 475-0192
(970) 475-0315
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18802
CO
183500000X
Pharmacist
3365
WY
Other
Enumeration date
10/04/2010
Last updated
11/20/2019
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