Individual
MR. ERIC RUDGERS SHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
4108 LINCOLN RD, MISSOULA, MT 59802-3046
(406) 541-0185
Mailing address
4108 LINCOLN RD, MISSOULA, MT 59802-3046
(406) 541-0185
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
4910
MT
Other
Enumeration date
10/17/2007
Last updated
10/17/2007
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