Individual
DR. SHANNON CARRELL FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
465 MAIN ST, TRUSSVILLE, AL 35173-1418
(205) 661-1110
(205) 655-0129
Mailing address
6320 PATRIOTS PASS, TRUSSVILLE, AL 35173-3721
(205) 661-0180
(205) 655-0129
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14209
AL
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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