Individual
SHELLY GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
901 N ANKENY BLVD, ANKENY, IA 50023-4002
(515) 964-3952
(515) 964-3657
Mailing address
3014 SW PRAIRIE VIEW RD, ANKENY, IA 50023-8941
(515) 491-8192
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19993
IA
Other
Enumeration date
09/28/2011
Last updated
09/28/2011
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