Individual
SHANNON FEDERICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
119 EAST MAIN ST., SALEM, KY 42078
(270) 988-3226
(270) 988-4357
Mailing address
1502 STATE ROUTE 70, MARION, KY 42064-7766
(270) 965-3256
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
012629
KY
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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