Individual
DR. SHANE MCMILLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1217 S MAIN ST, MARYVILLE, MO 64468-2603
(660) 582-2199
(660) 582-2456
Mailing address
1217 S MAIN ST, MARYVILLE, MO 64468-2603
(660) 582-2199
(660) 582-2456
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2011027356
MO
Other
Enumeration date
09/19/2014
Last updated
09/19/2014
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