NPI | 1710180682 |
---|---|
Former Name | SHANNON SHOCKLEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1835P1200X Pharmacist, Pharmacotherapy (Licence: TN 10102) |
Additional Taxonomies | 183500000X Pharmacist (Licence: TN 10102) |
1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: TN 10102) | |
1835P1300X Pharmacist, Psychiatric (Licence: TN 10102) | |
1835P2201X Pharmacist, Ambulatory Care (Licence: TN 10102) | |
Enumeration Date | 2007-06-07 |
Last Update Date | 2024-02-28 |