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Individual

CAROLYN SHORTMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHARMD, RPH

Contact information

Practice address
8100 E BROAD ST, REYNOLDSBURG, OH 43068-8019
(614) 322-9706
Mailing address
57 SMITH PL APT 3, COLUMBUS, OH 43201-7203
(330) 607-6914

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
019914
KY
183500000X
Pharmacist
Primary
03337177
OH

Other

Enumeration date
11/29/2020
Last updated
11/29/2020
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