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DR. SHANNON KERSEY CANADY PHARMD

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1720218498

Individual Registrant:
DR. SHANNON KERSEY CANADY PHARMD
Gender: F
Sole Proprietor

Location and contact information for practice:
117 KITE RD  SWAINSBORO, GA 30401-3231 US
Tel: 478-289-1317  Fax: 478-289-1316

Contact information for business:
117 KITE RD  SWAINSBORO, GA 30401-3231 US
Tel: 478-289-1317  Fax: 478-289-1316

Registration Information:
NPI: 1720218498
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y183500000XPharmacy Service Providers
Pharmacist
GARPH021431
N183500000XPharmacy Service Providers
Pharmacist
SC010360

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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