Individual
RYAN ERICK SHELLABARGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1221 W MONROE ST, DECATUR, IN 46733-1532
(260) 724-2568
(260) 724-3252
Mailing address
1221 W MONROE ST, DECATUR, IN 46733-1532
(260) 724-2568
(260) 724-3252
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
03230609
OH
183500000X
Pharmacist
Primary
26028033A
IN
Other
Enumeration date
11/20/2020
Last updated
11/20/2020
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