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Individual
STACY PARRISH SHANNON
Active
Individual
STACY PARRISH SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14576
NC
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
700162
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14576
NC BOARD OF PHARMACY LICENSE
NC
01
—
700162
CLINICAL PHARMACIST PRACTITIONER
NC
Enumeration date
09/18/2018
Last updated
09/18/2018
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