KENNETH ROBERT SHELTON

LA GRANDE, OR
NPI1427523646
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: OR  6173)
Enumeration Date2018-10-04
Last Update Date2018-10-04
Business Address
KENNETH ROBERT SHELTON rph
1123 ADAMS AVE
LA GRANDE, OR 97850-2692
Phone number: 541-963-5741
Mailing Address
KENNETH ROBERT SHELTON rph
1123 ADAMS AVE
LA GRANDE, OR 97850-2692
Phone number: 541-963-5741
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