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Mr. Shane A Dudley, RPH
Pharmacist in Caruthersville, Missouri
NPI 1154455673

Shane A Dudley is a Pharmacist based in Caruthersville, MO. Shane A Dudley practices in Caruthersville, MO and has the professional credentials of RPH. The NPI Number for Shane A Dudley is 1154455673 and holds a License No. 043832 (Missouri).

The current practice location address for Shane A Dudley is 410 Ward Ave, Caruthersville, MO and can be reached out via phone at 573-333-4890.

Location: 410 Ward Ave, Caruthersville, MO, 63830-1451
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154455673
Provider Name
Shane A Dudley
Credential
RPH
Provider Entity Type
Individual
Gender
Male
Address
410 Ward Ave, Caruthersville, MO, 63830-1451
Phone Number
573-333-4890
Fax Number
Provider Enumeration Date
03/15/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
600126106 05 MO
620126102 05 MO
institution
Provider Business Practice Location Address Details
Address
410 Ward Ave
City
Caruthersville
State
Missouri
Zip
63830-1451
Phone Number
573-333-4890
Fax Number
person
Provider Business Mailing Address Details
Address
410 Ward Ave
City
Caruthersville
State
Missouri
Zip
63830-1451
Phone Number
573-333-4890
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
043832 (Missouri)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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