Individual
MR. MARK E. SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
520 S 7TH ST, PHARMACY DEPARTMENT, VINCENNES, IN 47591-1038
(812) 885-3348
(812) 885-3087
Mailing address
520 S. 7TH STREET, PHARMACY DEPARTMENT, VINCENNES, IN 47591-1038
(812) 885-3348
(812) 885-3087
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26014396A
IN
Other
Enumeration date
08/31/2009
Last updated
08/31/2009
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