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SHANNON RANEY PHARMD
>> Pharmacist >> Pharmacy Service ProvidersRegistrant NPI Number: 1972108439
Individual Registrant: SHANNON RANEY PHARMD
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
500 S LINCOLN AVE STAR CITY, AR 71667-5208 US
Tel: 870-628-4004 Fax: 870-628-3460
Tel: 870-628-4004 Fax: 870-628-3460
Contact information for business:
500 S LINCOLN AVE STAR CITY, AR 71667-5208 US
Tel: 870-628-4004 Fax: 870-628-3460
Tel: 870-628-4004 Fax: 870-628-3460
Registration Information:
NPI: 1972108439
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 183500000X | Pharmacy Service Providers Pharmacist | AR | PD15240 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
