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SHANNON RAINES THOMPSON RPH

>> Pharmacist >> Pharmacy Service Providers

Registrant NPI Number: 1497341259

Individual Registrant:
 SHANNON RAINES THOMPSON RPH
Gender: F
Not Sole Proprietor

Location and contact information for practice:
305 FORREST AVE  EAST BREWTON, AL 36426-2620 US
Tel: 251-809-1010  Fax: 251-241-0020

Contact information for business:
305 FORREST AVE  EAST BREWTON, AL 36426-2620 US
Tel: 251-809-1010  Fax: 251-241-0020

Registration Information:
NPI: 1497341259
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N183500000XPharmacy Service Providers
Pharmacist
GARPH018053
Y183500000XPharmacy Service Providers
Pharmacist
AL13515

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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