Individual
SHANNON MARIE MOUNT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1100 TIGER BLVD, CLEMSON, SC 29631-2664
(864) 653-7962
(864) 653-7968
Mailing address
409 LINDSAY RD, CLEMSON, SC 29631-3126
(803) 760-6030
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
12618
SC
Other
Enumeration date
02/22/2011
Last updated
02/22/2011
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