| NPI | 1386243053 |
|---|---|
| Former Name | SHANNON LABOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: FL PS47312) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2004031546) |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2020-10-22 |