Individual
SHANNON VALLEE CANZONERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM D
Contact information
Practice address
4500 13TH ST, GULFPORT, MS 39501-2515
(228) 865-3525
(228) 865-3618
Mailing address
4500 13TH ST, GULFPORT, MS 39501-2515
(228) 865-3525
(228) 865-3618
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-010116
MS
Other
Enumeration date
12/02/2019
Last updated
12/02/2019
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