LARRY JOHN SHUTACK

JUNEAU, AK
NPI1790077048
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: AK  1672)
Enumeration Date2011-05-04
Last Update Date2011-05-04
Business Address
Mr. LARRY JOHN SHUTACK rph
5225 COMMERCIAL BLVD
JUNEAU, AK 99801-7210
Phone number: 907-780-2261
Mailing Address
Mr. LARRY JOHN SHUTACK rph
5225 COMMERCIAL BLVD
JUNEAU, AK 99801-7210
Phone number: 907-780-2261