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Individual

MR. CHRISTOPHER M SHUBERT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
15601 HICKMAN RD, CLIVE, IA 50325-7985
(515) 987-6807
Mailing address
104 E EUCLID AVE, DES MOINES, IA 50313-4507
(515) 243-0601

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
121491
MN
183500000X
Pharmacist
Primary
23793
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1205841525
PHARMACY
Enumeration date
08/18/2013
Last updated
05/20/2021
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