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Individual

SHELLEY JANNINGS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
153 E SPRINGFIELD RD, SULLIVAN, MO 63080-1311
(573) 468-4777
(573) 468-4757
Mailing address
153 E SPRINGFIELD RD, SULLIVAN, MO 63080-1311
(573) 468-4777
(573) 468-4757

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
042467
MO

Other

Enumeration date
07/20/2020
Last updated
07/20/2020
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