Individual
DR. SHANE MICHEAL BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D., RPH
Contact information
Practice address
100 CHAPEL DR STE A, MONETT, MO 65708-9378
(417) 635-1100
(417) 635-1103
Mailing address
100 CHAPEL DR STE A, MONETT, MO 65708-9378
(417) 635-1100
(417) 635-1103
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2006025285
MO
Other
Enumeration date
04/09/2007
Last updated
04/16/2012
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