Organization
EJJE, INC
Active
Other names
SHELTON PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY JACKSON SHELTON RPH (PRESIDENT)
(828) 692-1022
Entity
Organization
Contact information
Practice address
2315 ASHEVILLE HWY, SUITE 50, HENDERSONVILLE, NC 28791-1500
(828) 692-1022
(828) 698-1572
Mailing address
2315 ASHEVILLE HWY, SUITE 50, HENDERSONVILLE, NC 28791-1500
(828) 692-1022
(828) 698-1572
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4058
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0455386
—
NC
01
—
3419391
NCPDP
—
Enumeration date
07/20/2006
Last updated
11/06/2020
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