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1588377105
CALVEN KREG SHACKELFORD
HURRICANE, UT
NPI
1588377105
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: UT 8197454-1701)
Enumeration Date
2022-12-28
Last Update Date
2022-12-28
Business Address
Dr. CALVEN KREG SHACKELFORD PharmD
25 N 2000 W
HURRICANE, UT 84737-4111
Phone number: 435-635-8200
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Mailing Address
Dr. CALVEN KREG SHACKELFORD PharmD
2829 W 750 N
HURRICANE, UT 84737-3579
Phone number: 307-679-5288
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