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NPI Code Detail

MEDICARE: SHANNON MARIE JUST PHARMD

MEDICARE: SHANNON MARIE JUST PHARMD
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
1183500000XPharmacist03-2-26230OH

General Provider Information

NPI Number : 1184634438
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANNON MARIE JUST PHARMD
Provider Business Mailing Address
First Line : 16255 CHATMAN DR APT 202
Second Line :
City : STRONGSVILLE
State : OH
Zip : 44149-9010
Country : US
Telephone Number : 419-341-2626
Fax Number :
Provider Business Practice Location Address
First Line : 17406 ROYALTON RD
Second Line :
City : STRONGSVILLE
State : OH
Zip : 44136-5151
Country : US
Telephone Number : 440-846-2878
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2006
Last Update Date : 07/08/2007

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Directions to “ SHANNON MARIE JUST PHARMD” Practice Location

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