Individual
SHANNON D PETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
7100 W CENTER RD, OMAHA, NE 68106-2700
(402) 506-9000
Mailing address
PO BOX 241644, OMAHA, NE 68124-5644
(515) 291-2396
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
03330901
OH
183500000X
Pharmacist
Primary
13871
NE
183500000X
Pharmacist
21637
IA
Other
Enumeration date
07/25/2011
Last updated
06/03/2015
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