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1285307835
JACKSON LANE SHANNON
CHARLOTTE, NC
NPI
1285307835
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: TN 45317)
Enumeration Date
2021-07-29
Last Update Date
2024-10-12
Business Address
Dr. JACKSON LANE SHANNON Pharm. D.
8322 PINEVILLE MATTHEWS RD
CHARLOTTE, NC 28226-4707
Phone number: 704-496-5228
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Mailing Address
Dr. JACKSON LANE SHANNON Pharm. D.
17200 BRIDGETON LN
HUNTERSVILLE, NC 28078-4808
Phone number: 423-415-2472
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