Individual
SHAWN GLENN PATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
112 W LEWIS ST, LIVINGSTON, MT 59047-3066
(406) 922-0843
Mailing address
199 MT HIGHWAY 359, CARDWELL, MT 59721-9704
(406) 922-0843
(406) 922-0885
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5938
MT
Other
Enumeration date
09/22/2008
Last updated
02/08/2022
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