SHANNON WAYNE MCDANIEL

PRAIRIEVILLE, LA
NPI1245368182
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: LA  15712)
Enumeration Date2007-03-01
Last Update Date2007-07-08
Business Address
Mr. SHANNON WAYNE MCDANIEL rph
17682 AIRLINE HWY
PRAIRIEVILLE, LA 70769-3304
Phone number: 225-677-9503
Mailing Address
Mr. SHANNON WAYNE MCDANIEL rph
16554 JEFFERSON OAKS DR
PRAIRIEVILLE, LA 70769-4173
Phone number: 225-673-6839