Individual
SHANNON DALANIE RICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, BCGP
Contact information
Practice address
WT BROOKSHIRE HALL OFFICE 256 3900 UNIVERSITY BLVD, TYLER, TX 75799-0001
(903) 565-6437
Mailing address
WT BROOKSHIRE HALL OFFICE 256 3900 UNIVERSITY BLVD, TYLER, TX 75799-0001
(254) 724-2524
Taxonomy
Speciality
Code
Description
License number
State
1835G0303X
Geriatric Pharmacist
Primary
62610
TX
390200000X
Student in an Organized Health Care Education/Training Program
32953
TX
Other
Enumeration date
03/21/2018
Last updated
07/29/2021
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