Shively, Larry Wayne
Shively, Larry Wayne is an individual health care provider with primary practice located at 5Th And Roosevelt 119, Hines IL 60141. He recently has only one registered license in Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, which is considered as his primary health care specialty. Shively, Larry Wayne can be contacted via phone (708) 202-8387.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 040875 | Missouri |
Profile Details
NPI number | 1124116355 |
---|---|
LBN Legal business name | Shively, Larry Wayne |
Credentials | BS PHARMACY |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 11th, 2006 |
Last updated | Feb 1st, 2024 - about 7 months 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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