Individual
SHANNON DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D., RPH
Contact information
Practice address
355 MARKET SQUARE DR, PRINCE FREDERICK, MD 20678-3173
(410) 535-5313
Mailing address
355 MARKET SQUARE DR, PRINCE FREDERICK, MD 20678-3173
(410) 535-5313
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
27522
MD
Other
Enumeration date
08/29/2020
Last updated
08/29/2020
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