Individual
SHANNON RICHARD WOMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1151 ROSS CLARK CIR, DOTHAN, AL 36301-3021
(334) 673-1804
(334) 673-1903
Mailing address
695 WATERFORD WAY, ASHFORD, AL 36312-5457
(334) 899-4449
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13782
AL
183500000X
Pharmacist
PS28780
FL
Other
Enumeration date
04/24/2007
Last updated
05/21/2019
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