Provider Demographics
NPI:1730781600
Name:BYBEE, SHAWN (PHARMD)
Entity type:Individual
Prefix:
First Name:SHAWN
Middle Name:
Last Name:BYBEE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CEDAR CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84720-2637
Mailing Address - Country:US
Mailing Address - Phone:435-865-6665
Mailing Address - Fax:435-867-4880
Practice Address - Street 1:150 N MAIN ST
Practice Address - Street 2:
Practice Address - City:CEDAR CITY
Practice Address - State:UT
Practice Address - Zip Code:84720-2637
Practice Address - Country:US
Practice Address - Phone:435-865-6665
Practice Address - Fax:435-867-4880
Is Sole Proprietor?:No
Enumeration Date:2020-11-14
Last Update Date:2020-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT372061-1701183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist