Individual
SHELIA UNDERWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
429 SHADY BROOK DR, RICHMOND, KY 40475-8938
(859) 623-3641
Mailing address
429 SHADY BROOK DR, RICHMOND, KY 40475-8938
(859) 623-3641
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
009013
KY
Other
Enumeration date
05/05/2008
Last updated
05/05/2008
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