Individual
MRS. MICHELLE ANN SHEPHERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
3109 W SYCAMORE ST, KOKOMO, IN 46901-4181
(765) 457-1191
(765) 868-3184
Mailing address
3673 PAULEY LN, RUSSIAVILLE, IN 46979-9170
(765) 883-1254
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26020963A
IN
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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