Provider Demographics
NPI:1700092871
Name:POWERS, SHAWN FRANCIS (RPH)
Entity Type:Individual
Prefix:MR
First Name:SHAWN
Middle Name:FRANCIS
Last Name:POWERS
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 BEAVER POND RD
Mailing Address - Street 2:
Mailing Address - City:BUTTE
Mailing Address - State:MT
Mailing Address - Zip Code:59701-9797
Mailing Address - Country:US
Mailing Address - Phone:406-533-0766
Mailing Address - Fax:406-723-2799
Practice Address - Street 1:435 S CRYSTAL ST.
Practice Address - Street 2:SUITE 230
Practice Address - City:BUTTE
Practice Address - State:MT
Practice Address - Zip Code:59701
Practice Address - Country:US
Practice Address - Phone:406-723-2441
Practice Address - Fax:406-723-2799
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT3290183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist