Individual
SHANNON BARNES FAULKENBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
9712 TWO NOTCH RD, COLUMBIA, SC 29223-4379
(803) 788-8582
Mailing address
228 RIDGEHILL DR, LEXINGTON, SC 29073-7063
(803) 223-4025
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
42070
SC
Other
Enumeration date
07/14/2019
Last updated
07/14/2019
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