Individual
SHANE ENRIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1441 FOX RUN PKWY, OPELIKA, AL 36801-5900
(334) 741-4150
Mailing address
1016 E MAGNOLIA AVE, AUBURN, AL 36830-5644
(334) 549-1976
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/23/2022
Last updated
01/25/2024
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