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Individual
MATTHEW SHELLENBARGER
Active
Individual
MATTHEW SHELLENBARGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP441240
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RP441240
PA STATE BOARD OF PHARMACY
PA
Enumeration date
03/24/2020
Last updated
03/24/2020
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