Individual
SHELBY YOUNGBLOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1902 BROOKS ST, MISSOULA, MT 59801-6644
(406) 728-1380
Mailing address
2312 W FOOTHILLS DR APT 1, MISSOULA, MT 59803-2661
(605) 939-6632
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHA-PHA-LIC-88840
MT
Other
Enumeration date
09/06/2022
Last updated
09/06/2022
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