Individual
SHANNON ERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
6365 STAGECOACH DR, WEST DES MOINES, IA 50266-8083
(515) 453-2760
Mailing address
8513 WINSTON AVE, URBANDALE, IA 50322-2333
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
19110
IA
Other
Enumeration date
06/09/2020
Last updated
06/09/2020
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