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NPI Code Detail

MEDICARE: SHAWN KOLAR PHARMD.

MEDICARE: SHAWN KOLAR PHARMD.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist6801113UT

General Provider Information

NPI Number : 1356040729
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAWN KOLAR PHARMD.
Provider Business Mailing Address
First Line : 460 E 630 N
Second Line :
City : LINDON
State : UT
Zip : 84042-1555
Country : US
Telephone Number : 435-773-1404
Fax Number :
Provider Business Practice Location Address
First Line : 2276 E RIVERSIDE DR
Second Line :
City : SAINT GEORGE
State : UT
Zip : 84790-2636
Country : US
Telephone Number : 435-359-9899
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2023
Last Update Date : 02/25/2023

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Directions to “ SHAWN KOLAR PHARMD.” Practice Location

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