Individual
ANTHONY WAYNE SHURTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
367 BOLETUS CREEK DR, BAYFIELD, CO 81122-9733
(970) 769-0117
Mailing address
367 BOLETUS CREEK DR, BAYFIELD, CO 81122-9733
(970) 884-1902
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
03-2-11205
OH
183500000X
Pharmacist
Primary
PHA-15463
CO
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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