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NPI Code Detail

MEDICARE: ERIC SHELL PHARMD

MEDICARE: ERIC SHELL PHARMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist37461TN

General Provider Information

NPI Number : 1235571308
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIC SHELL PHARMD
Provider Business Mailing Address
First Line : 110 INDIAN LAKE BLVD
Second Line :
City : HENDERSONVILLE
State : TN
Zip : 37075-6206
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 110 INDIAN LAKE BLVD
Second Line :
City : HENDERSONVILLE
State : TN
Zip : 37075-6206
Country : US
Telephone Number : 615-264-2901
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2013
Last Update Date : 07/18/2013

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Directions to “ ERIC SHELL PHARMD” Practice Location

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