NPI 1275088767

Shelby Lancaster

Practitioner Pharmacist Gooding, ID

Practice location

Address: 414 Main St, Gooding, ID 83330-1315
Phone: (208) 934-4000

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence P7516 (ID)

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Registry record

NPI: 1275088767
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Aug 2016
Record last updated: 24 Aug 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.