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Individual

MR. LARRY JOHN SHUTACK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
5225 COMMERCIAL BLVD, JUNEAU, AK 99801-7210
(907) 780-2261
(907) 780-2201
Mailing address
5225 COMMERCIAL BLVD, JUNEAU, AK 99801-7210
(907) 780-2261
(907) 780-2201

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1672
AK

Other

Enumeration date
05/04/2011
Last updated
05/04/2011
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