Individual
SHANNON DIERKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1302 CLARKSON CLAYTON CTR, ELLISVILLE, MO 63011-2145
(636) 394-4422
Mailing address
1302 CLARKSON CLAYTON CTR, ELLISVILLE, MO 63011-2145
(636) 394-4422
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
044017
MO
Other
Enumeration date
10/16/2011
Last updated
10/16/2011
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