Individual
MRS. LISA MICHELLE SHELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2500 N MAIN, ALTUS, OK 73521
(580) 482-8466
Mailing address
3516 KINGS WAY, ALTUS, OK 73521
(580) 301-4331
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13952
OK
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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