CHARLES A. SHANNON

ROSWELL, NM
NPI1093701435
Entity TypeIndividual
GenderMale
Sole Proprietor ?
Primary Taxonomy183500000X Pharmacist
(Licence: NM  3851)
Enumeration Date2005-09-21
Last Update Date2007-07-08
Business Address
MR. CHARLES A. SHANNON RPH
711 N UNION AVE
ROSWELL, NM 88201-3955
Phone number: 505-622-6571
Mailing Address
MR. CHARLES A. SHANNON RPH
711 N UNION AVE
ROSWELL, NM 88201-3955
Phone number: 505-622-6571