| NPI | 1801244504 |
|---|---|
| Doing Business As | SHELTON PHARMACY |
| Entity Type | Organization |
| Authorized Contact | SRINIVASA TUMMALA Co Owner, PIC, AO, Manager 360-545-4333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy (Licence: WA PHAR.CF.60644730) |
| Additional Taxonomies | 3336C0004X Pharmacy, Compounding Pharmacy |
| 333600000X Pharmacy | |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2016-07-13 |