| NPI | 1861182339 |
|---|---|
| Doing Business As | SHANNON SPECIALTY PHARMACY |
| Entity Type | Organization |
| Authorized Contact | CARLOS ROBLEDO Director Out Patient Pharmacy Servi 325-374-4446 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 3336S0011X Pharmacy, Specialty Pharmacy |
| Enumeration Date | 2023-05-09 |
| Last Update Date | 2024-04-09 |