| 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 |