Healthcare Provider Details

I. General information

NPI: 1629626890
Provider Name (Legal Business Name): SHELBY GRIFFIN KEHOE PHARMD, RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SHELBY LYNN GRIFFIN PHARMD, RPH

II. Dates (important events)

Enumeration Date: 08/29/2019
Last Update Date: 06/29/2022
Certification Date: 06/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1491 MAIN ST
DUNEDIN FL
34698-4612
US

IV. Provider business mailing address

1491 MAIN ST
DUNEDIN FL
34698-4612
US

V. Phone/Fax

Practice location:
  • Phone: 727-736-2785
  • Fax:
Mailing address:
  • Phone: 727-736-2785
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS59400
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: