Provider Demographics
NPI:1447391529
Name:LOUDEN, SHELLY SUE (RPH)
Entity Type:Individual
Prefix:MRS
First Name:SHELLY
Middle Name:SUE
Last Name:LOUDEN
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1520 W WILLIAM ST
Mailing Address - Street 2:PO BOX 701
Mailing Address - City:DELAWARE
Mailing Address - State:OH
Mailing Address - Zip Code:43015-2250
Mailing Address - Country:US
Mailing Address - Phone:740-369-6287
Mailing Address - Fax:740-363-6335
Practice Address - Street 1:800 W CENTRAL AVE
Practice Address - Street 2:BUEHLERS PHARMACY
Practice Address - City:DELAWARE
Practice Address - State:OH
Practice Address - Zip Code:43015-1483
Practice Address - Country:US
Practice Address - Phone:740-363-1515
Practice Address - Fax:740-363-6550
Is Sole Proprietor?:No
Enumeration Date:2007-02-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-2-09624183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist