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1609093293
SHANE KELVIN BERTHELOT
WESLACO, TX
NPI
1609093293
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: SC 12062)
Enumeration Date
2007-04-18
Last Update Date
2022-07-21
Business Address
MR. SHANE KELVIN BERTHELOT RPH
1010 S AIRPORT DR STE C
WESLACO, TX 78596-6600
Phone number: 803-378-4500
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Mailing Address
MR. SHANE KELVIN BERTHELOT RPH
3418 MAIN HWY #11569 RITE AID
BAMBERG, SC 29003-2135
Phone number: 803-378-4500
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