Individual
SHELLY MUDD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
6320 N OAK TRFY, GLADSTONE, MO 64118-4704
(816) 453-7856
Mailing address
6320 N OAK TRFY, GLADSTONE, MO 64118-4704
(816) 453-7856
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
1-13393
KS
183500000X
Pharmacist
Primary
2001028206
MO
Other
Enumeration date
11/17/2011
Last updated
11/17/2011
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