Individual
SHELBY STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
320 WEST ST S, GRINNELL, IA 50112-8117
(641) 236-4287
Mailing address
304 4TH AVE W APT 12, GRINNELL, IA 50112-1847
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
24264
IA
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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