Individual
ANN G SHASHACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
3732 NAMEOKI RD, GRANITE CITY, IL 62040-3714
(618) 877-6880
(618) 877-2012
Mailing address
3732 NAMEOKI RD, GRANITE CITY, IL 62040-3714
(618) 877-6880
(618) 877-2012
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051.292213
IL
Other
Enumeration date
07/09/2011
Last updated
07/09/2011
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