Individual
SHANNON BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-9800
(866) 668-9040
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-9800
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
PI124596
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2024
Last updated
05/02/2024
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