Individual
DR. SHAWN MICHAEL MANOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
4918 BARKSDALE BLVD, BOSSIER CITY, LA 71112-4555
(318) 549-2107
Mailing address
1725 CLAIBORNE AVE, SHREVEPORT, LA 71103-4109
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
17663
LA
Other
Enumeration date
09/12/2013
Last updated
09/12/2013
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