Individual
SHANNON ASHLEY FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
910 UNITY RD, CROSSETT, AR 71635-9424
(870) 364-7205
Mailing address
2286 HIGHWAY 189 N, HAMBURG, AR 71646-8728
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PD12366
AR
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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