Provider Demographics
NPI:1710261904
Name:SHELTON, ADRIENA Z (PHARMD)
Entity Type:Individual
Prefix:
First Name:ADRIENA
Middle Name:Z
Last Name:SHELTON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1111 POST OAK BLVD APT 323
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-3151
Mailing Address - Country:US
Mailing Address - Phone:214-476-4737
Mailing Address - Fax:
Practice Address - Street 1:10660 EASTEX FWY
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77093-4324
Practice Address - Country:US
Practice Address - Phone:713-691-4250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-05
Last Update Date:2011-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX48061183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist