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1548279979
SHANNON WILSON
PADUCAH, KY
NPI
1548279979
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: KY 012463)
Enumeration Date
2006-08-05
Last Update Date
2007-07-08
Business Address
-- SHANNON WILSON PHARM.D
3535 LONE OAK RD
PADUCAH, KY 42003-5701
Phone number: 270-554-7944
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Mailing Address
-- SHANNON WILSON PHARM.D
280 SPRING VALLEY DR
PADUCAH, KY 42003-8885
Phone number: 270-534-9608
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