Individual
MRS. SHAWNA ANN PENICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1700 N 14TH AVE, DODGE CITY, KS 67801-3413
(620) 225-6140
Mailing address
1700 N 14TH AVE, DODGE CITY, KS 67801-3413
(620) 225-6140
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
1-100192
KS
Other
Enumeration date
02/22/2017
Last updated
02/22/2017
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