Individual
ALEKSANDER DOUGLAS SHELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPHT
Contact information
Practice address
200 N FRANKLIN ST, CUBA, MO 65453-1705
(573) 885-7212
(573) 885-6798
Mailing address
1075 EDEN ST, BOURBON, MO 65441-8119
(573) 205-0020
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
2013044476
MO
Other
Enumeration date
12/28/2021
Last updated
12/28/2021
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