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Individual
DR. SHANE CROSS
Active
Individual
DR. SHANE CROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
0000011764
TN
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
2001023909
MO
1835P1200X
Pharmacotherapy Pharmacist
0000011764
TN
1835P1200X
Pharmacotherapy Pharmacist
2001023909
MO
Other
Enumeration date
11/11/2024
Last updated
11/11/2024
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