IndividualActive
Alicia Shockley
NPI 1376145474 · Pharmacist · Rolla, MO
Provider details
- NPI number
- 1376145474
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 044589 (MO)
Mailing address
500 S Bishop Ave
Rolla, MO 65401-4313
Registry dates
- Enumerated
- 2020-11-12
- Last updated
- 2020-11-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.