Individual
SHELBY CLARK ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
11550 PAGE SERVICE DR, SAINT LOUIS, MO 63146-3531
(314) 344-9201
Mailing address
2103 LILLY AVE APT A, SAINT LOUIS, MO 63110-2942
(217) 853-8192
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2018025680
MO
Other
Enumeration date
07/17/2018
Last updated
07/17/2018
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