Individual
MRS. KELLY MARIE SHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
4108 LINCOLN RD, MISSOULA, MT 59802-3046
(406) 544-7404
Mailing address
4108 LINCOLN RD, MISSOULA, MT 59802-3046
(406) 544-7404
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4724
MT
Other
Enumeration date
10/17/2007
Last updated
03/08/2023
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