Individual
SHELLEY KAY CHEESMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
5415 MAIN ST, SPRINGFIELD, OR 97478-6279
(541) 736-3418
(541) 736-3415
Mailing address
PO BOX 1166, MARCOLA, OR 97454-1166
(541) 933-2668
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8663
OR
Other
Enumeration date
10/26/2010
Last updated
10/26/2010
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