Individual
DANIELL SHANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
802 W GORE BLVD, LAWTON, OK 73501-3719
(580) 353-4113
(580) 357-3862
Mailing address
3515 NW ARLINGTON AVE, LAWTON, OK 73505-6124
(405) 990-8725
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16977
OK
Other
Enumeration date
02/11/2021
Last updated
02/11/2021
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