Individual
MADELINE SHELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
13034 SHRINERS BLVD UNIT A, BILOXI, MS 39532-8250
(228) 392-5355
Mailing address
980 COURTHOUSE RD APT 802, GULFPORT, MS 39507-4285
(601) 325-5157
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
IE-8683
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IE-8683
PHARMACY EXTERN LICENSE
—
Enumeration date
10/22/2021
Last updated
10/22/2021
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