Individual
MISS SHANNON MARIE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1477 MACCORKLE AVE, SAINT ALBANS, WV 25177-1826
(304) 722-4246
Mailing address
1477 MACCORKLE AVE, SAINT ALBANS, WV 25177-1826
(304) 722-4246
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0005776
WV
Other
Enumeration date
10/20/2012
Last updated
10/20/2012
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