Theodore Darryl Shunk, RPH Valid NPI
Individual provider · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Lagrange, KY
- NPI
- 1548809627
- Type
- Individual (Type 1)
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Pharmacist)
- Specialty group
- Pharmacy Service Providers
- Taxonomy code
- 1835P0018X
- License number
- 26026120A (IN)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2020-01-06
- Last updated
- 2020-01-06
Practice location
Kroger Pharmacy, 2034 S Hwy 53
Lagrange, KY 40031
(502) 222-2028