Individual
SHANNON JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 SAN PEDRO DR SE, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
Mailing address
10800 COMANCHE RD NE APT 212, ALBUQUERQUE, NM 87111-3967
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-105735
KS
Other
Enumeration date
07/02/2018
Last updated
07/02/2018
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