Individual
SHANNON WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 N SENATE BLVD # AG401, INDIANAPOLIS, IN 46202-1239
(512) 751-4088
Mailing address
1701 N SENATE BLVD # AG401, INDIANAPOLIS, IN 46202-1239
(512) 751-4088
Taxonomy
Speciality
Code
Description
License number
State
1835P2201X
Ambulatory Care Pharmacist
Primary
26027227A
IN
Other
Enumeration date
11/13/2018
Last updated
11/13/2018
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