Individual
NATHANIEL CLAYTON SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1060 CHINOE RD STE 190, LEXINGTON, KY 40502-6589
(859) 335-2380
(859) 335-6410
Mailing address
1060 CHINOE RD STE 190, LEXINGTON, KY 40502-6589
(859) 335-2380
(859) 335-6410
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
014925
KY
Other
Enumeration date
06/22/2020
Last updated
06/22/2020
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