Individual
DR. SHANE LLOYD WELKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
526 SHOUP AVE W STE K, TWIN FALLS, ID 83301-5050
(208) 734-7373
(208) 734-7389
Mailing address
526 SHOUP AVE W STE K, TWIN FALLS, ID 83301-5050
(208) 734-7373
(208) 734-7389
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P10669
ID
Other
Enumeration date
09/22/2023
Last updated
09/22/2023
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