Individual
MELANIE RENEE SHELDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
208 W IRONWOOD DR, COEUR D ALENE, ID 83814-2640
(208) 664-3185
Mailing address
1868 COVE RD, WEISER, ID 83672-5368
(208) 899-6091
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P7555
ID
183500000X
Pharmacist
PH60658273
WA
Other
Enumeration date
08/30/2016
Last updated
08/30/2016
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