Individual
MRS. SHANNON BELLE BETHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
227 S CADDOA DR, PUEBLO WEST, CO 81007-1604
(719) 547-7557
Mailing address
227 S CADDOA DR, PUEBLO WEST, CO 81007-1604
(719) 547-7557
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
15321
CO
Other
Enumeration date
09/24/2008
Last updated
09/24/2008
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