Shellnuts Aces INC
NPI #1326527078 in Livingston, Tennessee
Provider Information
- NPI Number
- 1326527078
- Entity Type
- Organization
- Organization Name
- Shellnuts Aces INC
- Primary Specialty
- Pharmacy - Long Term Care Pharmacy
- Enumeration Date
- Aug 13, 2018
- Last Updated
- Aug 13, 2018
Practice Location
- Address
- 1970 BRADFORD HICKS DR STE B
- City
- Livingston
- State
- Tennessee
- ZIP Code
- 38570-2247
- Phone
- (931) 403-2552
Authorized Official
- Name
- JONATHAN CLINT MELTON, PHARM D.
- Title
- PRESIDENT
- Phone
- (931) 403-2552
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacy - Long Term Care Pharmacy — Long Term Care Pharmacy |
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