Organization
M DOUGLAS SHAVER
Active
Other names
SHAVERS PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
M DOUGLAS SHAVER RPH (OWNER)
(308) 487-5212
Entity
Organization
Contact information
Practice address
508 NIOBRARA AVE, HEMINGFORD, NE 69348-9703
(308) 487-5212
(308) 487-5235
Mailing address
PO BOX 185, HEMINGFORD, NE 69348-0185
(308) 487-5212
(308) 487-5235
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
1092
NE
3336L0003X
Long Term Care Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2052688
PK
—
Enumeration date
10/23/2006
Last updated
07/01/2013
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