Shelby Souva

NPI #1114492428 in Wyandotte, Michigan

Provider Information

NPI Number: 1114492428
Entity Type: Individual
Name: Shelby Souva
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Oct 12, 2018
Last Updated: Oct 12, 2018

Practice Location

Address: 1998 BIDDLE AVE
City: Wyandotte
State: Michigan
ZIP Code: 48192-3907
Phone: (734) 285-4100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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