# SHELTON PHARMACY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265544274
- **Authorized official:** JONATHAN SHELTON (PRESIDENT)
- **Authorized official phone:** (937) 253-4108

## Contact information

- **Practice address:** 1525 WAYNE AVE, DAYTON, OH 45410-1707
- **Practice address phone:** (937) 253-4108
- **Practice address fax:** (937) 253-8662
- **Mailing address:** 1525 WAYNE AVE, DAYTON, OH 45410-1707
- **Mailing address phone:** (937) 253-4108
- **Mailing address fax:** (937) 253-8662

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | OH | — |
| 333600000X | Pharmacy | — | OH | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |
| 335E00000X | Prosthetic/Orthotic Supplier | — | OH | — |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 12/12/2007