Individual
DR. JARED SHELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D., BCPS
Contact information
Practice address
211 S 3RD ST, BELLEVILLE, IL 62220-1915
(618) 234-2120
Mailing address
211 S 3RD ST, BELLEVILLE, IL 62220-1915
(618) 234-2120
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051297626
IL
183500000X
Pharmacist
2012020935
MO
183500000X
Pharmacist
21920
IA
1835P1200X
Pharmacotherapy Pharmacist
Primary
051297626
IL
Other
Enumeration date
05/21/2015
Last updated
05/21/2015
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