Individual
DR. JERRY ANTHONY SHELBY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
4361 HIGHWAY 24, ANDERSON, SC 29626-5214
(864) 224-8433
(864) 224-3958
Mailing address
4361 HIGHWAY 24, ANDERSON, SC 29626
(864) 224-8433
(864) 224-3958
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12310
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467617258
WALGREENS PHARMACY
SC
Enumeration date
03/01/2011
Last updated
03/01/2011
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