Individual
MALAAN DEMILLE SHUMATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10504 S. 15TH ST., BELLEVUE, NE 68123
(402) 292-0463
Mailing address
21 SHERMAN TPKE, OFFUTT, OFFUTT AFB, NE 68113
(520) 370-7211
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
S012344
AZ
Other
Enumeration date
11/03/2014
Last updated
11/30/2020
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