| Mr Shane A Dudley, RPH | |
|
410 Ward Ave, Caruthersville, MO 63830-1451 | |
| (573) 333-4890 | |
| Not Available |
| Full Name | Mr Shane A Dudley |
|---|---|
| Gender | Male |
| Speciality | Pharmacist |
| Location | 410 Ward Ave, Caruthersville, Missouri |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154455673 | NPI | - | NPPES |
| 600126106 | Medicaid | MO | |
| 620126102 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 183500000X | Pharmacist | 043832 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Shane A Dudley, RPH 410 Ward Ave, Caruthersville, MO 63830-1451 Ph: (573) 922-9199 | Mr Shane A Dudley, RPH 410 Ward Ave, Caruthersville, MO 63830-1451 Ph: (573) 333-4890 |
James R Brands, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1200 Ward Ave, Caruthersville, MO 63830 Phone: 573-333-4606 | |
Nathan Straeter, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: State Highway 84 West, Caruthersville, MO 63830 Phone: 573-333-0073 | |
Krilurk Chanvitayapongs, R.PH. Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 2709 South Ward, Caruthersville, MO 63830 Phone: 800-626-6934 Fax: 573-333-2843 | |
Henry Thomas Hayden, R.PH. Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 1200 Ward Ave, Caruthersville, MO 63830 Phone: 800-626-6934 Fax: 573-333-2843 | |
John Priggel, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: State Highway 84 West, Caruthersville, MO 63830 Phone: 573-333-0073 Fax: 573-333-0101 | |
Dax Owen Melugin, Pharmacist Medicare: Not Enrolled in Medicare Practice Location: 410 Ward Ave, Caruthersville, MO 63830 Phone: 573-333-4890 Fax: 573-333-0306 |