Individual
ALICIA A SHOCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 S BISHOP AVE, ROLLA, MO 65401-4313
(573) 364-4339
Mailing address
500 S BISHOP AVE, ROLLA, MO 65401-4313
(573) 364-4339
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
044589
MO
Other
Enumeration date
11/12/2020
Last updated
11/12/2020
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