Individual
JESSICA SHANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
603 MINNESOTA AVE, WALKER, MN 56484-2279
(218) 547-1016
Mailing address
603 MINNESOTA AVE, WALKER, MN 56484-2279
(218) 547-1016
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
122858
MN
Other
Enumeration date
07/01/2016
Last updated
07/01/2016
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