SHANE KORTAN

LAKE HAVASU CITY, AZ
NPI1609176551
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: AZ  s012216)
Enumeration Date2010-10-26
Last Update Date2010-10-26
Business Address
-- SHANE KORTAN RPh.
1650 MCCULLOCH BLVD N
LAKE HAVASU CITY, AZ 86403-0961
Phone number: 928-855-9200
Mailing Address
-- SHANE KORTAN RPh.
1650 MCCULLOCH BLVD N
LAKE HAVASU CITY, AZ 86403-0961
Phone number: 928-855-9200
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