Provider Demographics
NPI:1710736335
Name:KINSHAW, SHELBY (PHARMD)
Entity type:Individual
Prefix:DR
First Name:SHELBY
Middle Name:
Last Name:KINSHAW
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:SHELBY
Other - Middle Name:
Other - Last Name:PILLSBURY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARMD
Mailing Address - Street 1:26 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WARNER
Mailing Address - State:NH
Mailing Address - Zip Code:03278-4213
Mailing Address - Country:US
Mailing Address - Phone:603-477-3741
Mailing Address - Fax:
Practice Address - Street 1:370 MIRACLE MILE
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:NH
Practice Address - Zip Code:03766-2635
Practice Address - Country:US
Practice Address - Phone:603-448-3753
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-15
Last Update Date:2024-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH4215183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist