Kelly Marie Shields in Missoula - Pharmacist
Kelly Marie Shields - NPI 1528257474
Kelly Marie Shields is a Pharmacist in Missoula, Montana. Kelly Marie Shields practices all healthcare services and medical treatments related to Pharmacist. The NPI Number for Kelly Marie Shields is 1528257474. The last update date is 2023-03-08.
Kelly Marie Shields's current location address is 4108 Lincoln Rd, Missoula, Montana. You can contact this provider via phone number 4065447404. The mailing address for Kelly Marie Shields is 4108 Lincoln Rd, Missoula, Montana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kelly Marie Shields |
|---|---|
| Address | 4108 Lincoln Rd, Missoula, Montana |
| Phone Number | 4065447404 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PHARM.D. |
NPI Number Detail
| NPI Number | 1528257474 |
|---|---|
| Provider Enumeration Date | 2007-10-17 |
| Last Updated Date | 2023-03-08 |
Provider Mailing Address Detail
| Address | 4108 Lincoln Rd |
|---|---|
| City | Missoula |
| State | Montana (MT) |
| Post Code | 598023046 |
| Phone Number | 4065447404 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pharmacist |
|---|---|
| Taxonomy | 183500000X |
| Licence No | 4724 |
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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 |
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What is the unique 10-digit identification code assigned to Kelly Marie Shields by the Centers for Medicare & Medicaid Services?
The Kelly Marie Shields has been issued the NPI (National Provider Identifier) 1528257474, 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 Kelly Marie Shields?
The Kelly Marie Shields is situated at 4108 Lincoln Rd, in the city of Missoula, state of MT, with the zip code 598023046.
What is the area of specialization for Kelly Marie Shields, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kelly Marie Shields is Pharmacist, and the corresponding taxonomy code that categorizes this area of expertise is 183500000X.
On what date did the Kelly Marie Shields receive the assignment of its 1528257474 from the Centers for Medicare & Medicaid Services?
The Kelly Marie Shields was issued its 1528257474 by the Centers for Medicare & Medicaid Services on 2007-10-17.
As of what date were the Kelly Marie Shields's details last updated?
The information pertaining to the Kelly Marie Shields, including its address, specialty, and other details, was most recently updated on 2023-03-08.