Individual
KIMBERLY EVETTE SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2817 2ND STREET EAST, BRADENTON, FL 34208
(941) 782-7024
(833) 374-2750
Mailing address
930 8TH AVE W, PALMETTO, FL 34221-4712
(941) 729-5250
(941) 729-7899
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PS30747
FL
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
10/10/2011
Last updated
12/09/2024
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