Individual
SHANNON ELAINE MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
577 MID RIVERS MALL DR, SAINT PETERS, MO 63376
(636) 970-2858
(636) 970-0023
Mailing address
577 MID RIVERS MALL DR, SAINT PETERS, MO 63376-2113
(636) 970-2858
(636) 970-0023
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2007022166
MO
Other
Enumeration date
06/22/2008
Last updated
07/12/2018
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