Shane Kelvin Berthelot, rph
Pharmacist in Weslaco, TX. Individual provider (NPI-1).
NPI number1609093293
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1609093293
- Entity type
- Individual (NPI-1)
- Name
- Mr. Shane Kelvin Berthelot
- Credential
- rph
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 18, 2007
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 12062 | SC | Yes |
Practice location
1010 S Airport Dr Ste CWeslaco, TX 78596-6600
Phone 803-378-4500 · Fax 803-378-4500
Mailing address
3418 Main Hwy#11569 Rite Aid
Bamberg, SC 29003-2135
Phone 803-378-4500 · Fax 803-378-4500
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All 42 Pharmacist providers in Weslaco · All 1,282 providers in Weslaco
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