Provider Demographics
NPI:1427653369
Name:DOWNS, SHELBY RAE
Entity type:Individual
Prefix:
First Name:SHELBY
Middle Name:RAE
Last Name:DOWNS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8277 BELLEVIEW DR STE 250
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-0359
Mailing Address - Country:US
Mailing Address - Phone:855-455-2100
Mailing Address - Fax:
Practice Address - Street 1:8277 BELLEVIEW DR STE 250
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-0359
Practice Address - Country:US
Practice Address - Phone:855-455-2100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-30
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX67082183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist