Shirley, Colter A
Shirley, Colter A is an individual health care provider with primary practice located at 400 S Woodruff Ave , Idaho Falls ID 83401-4367. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Shirley, Colter A can be contacted via phone (208) 529-5300.Contact Information
Primary practice address
400 S Woodruff Ave
Idaho Falls ID 83401-4367
Phone: (208) 529-5300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | P8011 | Idaho |
Profile Details
| NPI number | 1194216960 |
|---|---|
| LBN Legal business name | Shirley, Colter A |
| Credentials | PHARMD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 28th, 2018 |
| Last updated | May 28th, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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