Heather Shannon
Heather Shannon is a Pharmacist in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2021.
- Licensed in
- ID
- In the registry since
- 2021
Practice location Address checks out
1515 W State StBoise, ID 83702-4039
Phone: (208) 345-7684
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pharmacist (primary) | Taxonomy 183500000X · Licence P9131 (ID) |
|---|
Record details
| NPI number | 1801485073 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 13, 2021 |
| Last updated in NPPES | January 13, 2021 |
| Certification date | January 13, 2021 |
| Mailing address | 11612 W Alfred Ct, Boise, ID 83713-1893 |
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