Shane A Dudley in Caruthersville - Pharmacist
Shane A Dudley - NPI 1154455673
Shane A Dudley is a Pharmacist in Caruthersville, Missouri. Shane A Dudley practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Shane A Dudley is 1154455673. The last update date is 2021-04-27.
Shane A Dudley's current location address is 410 Ward Ave, Caruthersville, Missouri. You can contact this provider via phone number 5739229199. The mailing address for Shane A Dudley is 410 Ward Ave, Caruthersville, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shane A Dudley |
|---|---|
| Address | 410 Ward Ave, Caruthersville, Missouri |
| Phone Number | 5739229199 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | R.PH. |
NPI Number Detail
| NPI Number | 1154455673 |
|---|---|
| Provider Enumeration Date | 2007-03-15 |
| Last Updated Date | 2021-04-27 |
Provider Mailing Address Detail
| Address | 410 Ward Ave |
|---|---|
| City | Caruthersville |
| State | Missouri (MO) |
| Post Code | 638301451 |
| Phone Number | 5739229199 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 43832 |
|
Definition: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or m |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 600126106 | MO | -- | |
| 620126102 | MO | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Shane A Dudley by the Centers for Medicare & Medicaid Services?
The Shane A Dudley has been issued the NPI (National Provider Identifier) 1154455673, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Shane A Dudley?
The Shane A Dudley is situated at 410 Ward Ave, in the city of Caruthersville, state of MO, with the zip code 638301451.
What is the area of specialization for Shane A Dudley, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Shane A Dudley is Pharmacist, and the corresponding taxonomy code that categorizes this area of expertise is 183500000X.
When was the Shane A Dudley's 1154455673 issued?
The Shane A Dudley's 1154455673 was issued on 2007-03-15.
As of what date were the details related to Shane A Dudley most recently updated or revised?
The information pertaining to Shane A Dudley, including its address, specialty, and other relevant details, was last updated or revised on 2021-04-27.
NPI Number: 1669475885
Address: 1005 Midwestern Pkwy, Wichita Falls, TX
NPI Number: 1285637785
Address: 101 Deer Run Rd, Elgin, SC