Individual
DR. SHANNON SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, BCPS
Contact information
Practice address
520 E 10TH ST, SUPERIOR, NE 68978-1225
(402) 879-3281
(402) 879-4924
Mailing address
520 E 10TH ST, SUPERIOR, NE 68978-1225
(402) 879-3281
(402) 879-4924
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
1-15279
KS
183500000X
Pharmacist
Primary
14085
NE
Other
Enumeration date
04/14/2016
Last updated
04/14/2016
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