Provider Demographics
NPI:1568739472
Name:SCHOCKEMOEHL, SHELBY (PHARMD)
Entity Type:Individual
Prefix:
First Name:SHELBY
Middle Name:
Last Name:SCHOCKEMOEHL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:SHELBY
Other - Middle Name:
Other - Last Name:GUENVEUR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7295 S DEXTER ST
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80122-2413
Mailing Address - Country:US
Mailing Address - Phone:262-894-5600
Mailing Address - Fax:
Practice Address - Street 1:7551 W ALAMEDA AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80226-3208
Practice Address - Country:US
Practice Address - Phone:303-232-7549
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-20
Last Update Date:2020-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO22643183500000X
WI16105-40183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist