Dr. Shane Tolleson, PharmD
Pharmacist in Houston, TX. Individual provider (NPI-1).
NPI number1467167759
StatusActive
Last updated in NPPESJan 20, 2023
Details
- NPI
- 1467167759
- Entity type
- Individual (NPI-1)
- Name
- Dr. Shane Tolleson
- Credential
- PharmD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 20, 2023
- Certification date
- Jan 20, 2023
- Last updated
- Jan 20, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 54809 | TX | Yes |
Practice location
Health 2 4349 Martin Luther King Blvd Room 3044Houston, TX 77204-0001
Phone 832-842-8369
Mailing address
804 Malone StHouston, TX 77007-5126
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