Individual
SHELBY BAGBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
10735 PENDLETON PIKE, INDIANAPOLIS, IN 46236-2838
(317) 823-1819
Mailing address
9610 COVENANT DR, INDIANAPOLIS, IN 46239-6810
(317) 755-8300
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26030387A
IN
Other
Enumeration date
08/25/2023
Last updated
08/25/2023
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