Individual
MR. TOM REESE SHELTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
102 RACOVE DR, WEST MONROE, LA 71291-7349
(318) 396-3157
(318) 396-3157
Mailing address
102 RACOVE DR, WEST MONROE, LA 71291-7349
(318) 396-3157
(318) 396-3157
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10990
LA
Other
Enumeration date
02/27/2014
Last updated
02/27/2014
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