Provider Demographics
NPI:1366211864
Name:PIRTLE, SHELBY
Entity type:Individual
Prefix:
First Name:SHELBY
Middle Name:
Last Name:PIRTLE
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:SHELBY
Other - Middle Name:
Other - Last Name:PIRTLE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHARMD
Mailing Address - Street 1:6981 RANCH HILL DR
Mailing Address - Street 2:
Mailing Address - City:FLINT
Mailing Address - State:TX
Mailing Address - Zip Code:75762-8836
Mailing Address - Country:US
Mailing Address - Phone:214-808-4967
Mailing Address - Fax:
Practice Address - Street 1:703 STATE HIGHWAY 31 E
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:TX
Practice Address - Zip Code:75758-2397
Practice Address - Country:US
Practice Address - Phone:903-849-4090
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-26
Last Update Date:2023-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX72945183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist