Individual
SHANNON RAINES THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
305 FORREST AVE, EAST BREWTON, AL 36426-2620
(251) 809-1010
(251) 241-0020
Mailing address
305 FORREST AVE, EAST BREWTON, AL 36426-2620
(251) 809-1010
(251) 241-0020
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
13515
AL
183500000X
Pharmacist
RPH018053
GA
Other
Enumeration date
12/16/2020
Last updated
12/16/2020
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