Individual
KEITH ALAN SHELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
200 N 10TH ST, POPLAR BLUFF, MO 63901-4856
(573) 686-7216
(573) 686-7217
Mailing address
200 N 10TH ST, POPLAR BLUFF, MO 63901-4856
(573) 686-7216
(573) 686-7217
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
029271
MO
Other
Enumeration date
06/08/2010
Last updated
06/08/2010
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