NPI 1154455673

Shane a Dudley, RPH

Practitioner Pharmacist Caruthersville, MO

Practice location

Address: 410 Ward Ave, Caruthersville, MO 63830-1451
Phone: (573) 333-4890

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 043832 (MO)

Other Pharmacist providers in Missouri →

Registry record

NPI: 1154455673
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Mar 2007
Record last updated: 27 Apr 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.