Individual
MRS. SHANNON W IVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
702 HIGHWAY 278 EAST BYPASS, PIEDMONT, AL 36272
(256) 447-7779
(256) 447-6054
Mailing address
2265 COUNTY ROAD 12, PIEDMONT, AL 36272-3539
(256) 447-0155
(256) 447-6054
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12399
AL
183500000X
Pharmacist
16588
GA
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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