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NPI Code Detail

MEDICARE: MRS. ANGELA SHELTON PHARMD

MEDICARE:  MRS. ANGELA  SHELTON  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
1183500000XPharmacist14495AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215542600
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANGELA SHELTON PHARMD
Provider Business Mailing Address
First Line : 132 WEATHERLY WAY
Second Line :
City : PELHAM
State : AL
Zip : 35124-2856
Country : US
Telephone Number : 205-276-6414
Fax Number :
Provider Business Practice Location Address
First Line : 1111 HIGHLAND AVE
Second Line :
City : SELMA
State : AL
Zip : 36703-4129
Country : US
Telephone Number : 334-875-4916
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2020
Last Update Date : 09/11/2020

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Directions to “ MRS. ANGELA SHELTON PHARMD” Practice Location

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