Individual
GARY LYNN SHORTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2802 S CENTER ST, MARSHALLTOWN, IA 50158-4708
(641) 753-3204
(641) 753-0057
Mailing address
2802 S CENTER ST, MARSHALLTOWN, IA 50158-4708
(641) 753-3204
(641) 753-0057
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15662
IA
Other
Enumeration date
04/03/2019
Last updated
04/03/2019
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