Individual
DR. JON SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
1132 N MAIN ST, ALTUS, OK 73521-3122
(580) 477-1316
Mailing address
220 VAL VERDE ST, ALTUS, OK 73521-1135
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13057
OK
Other
Enumeration date
08/29/2011
Last updated
08/29/2011
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