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1790037695
MICHAEL EVAN SHORE
LONGMONT, CO
NPI
1790037695
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: CO 17383)
Enumeration Date
2012-10-03
Last Update Date
2012-10-03
Business Address
-- MICHAEL EVAN SHORE pharmd
551 S HOVER ST
LONGMONT, CO 80501-7920
Phone number: 720-864-4394
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Mailing Address
-- MICHAEL EVAN SHORE pharmd
400 CHEYENNE DR
LAFAYETTE, CO 80026-9229
Phone number: 720-280-2701
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