Most Relevant Information
Provider Data
| NPI Number: | 1003462508 |
| Provider Name: | SHELBY ELEANOR KELSH PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 1835P2201X |
| Specialty: | Pharmacist |
| License Number: | 5302043723 |
Most Important Dates
| Enumeration Date: | 08/12/2019 |
| Last Updated: | 08/12/2019 |
Provider Practice Location
25 MICHIGAN ST NE STE 2100
GRAND RAPIDS
MI
495032526
Practice Location Phone/Fax
| Phone: | 6163913777 |
| Fax: |
Provider Mailing Location
7875 ALPINE AVE
SPARTA
MI
493459385
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |