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NPI Code Detail

MEDICARE: DR. SHANNON FRAZIER PHARM D

MEDICARE: DR. SHANNON FRAZIER PHARM D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist41506TX

General Provider Information

NPI Number : 1295063295
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHANNON FRAZIER PHARM D
Provider Business Mailing Address
First Line : 11908 AUBURN TRAIL LN
Second Line :
City : PEARLAND
State : TX
Zip : 77584-7570
Country : US
Telephone Number : 832-577-9508
Fax Number :
Provider Business Practice Location Address
First Line : 3103 PALMER HWY
Second Line :
City : TEXAS CITY
State : TX
Zip : 77590-6721
Country : US
Telephone Number : 409-945-0702
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/02/2009
Last Update Date : 12/02/2009

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Directions to “ DR. SHANNON FRAZIER PHARM D” Practice Location

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