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Individual
SHELBY RAE WEARS
Active
Individual
SHELBY RAE WEARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18410
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0920056
—
NC
01
—
7704739
MEDICAID DME
NC
Enumeration date
10/08/2009
Last updated
10/08/2009
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