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NPI Code Detail

MEDICARE: MS. MAUREEN SHANNON RPH

MEDICARE: MS. MAUREEN SHANNON RPH
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
1183500000XPharmacist033.0003337VT

General Provider Information

NPI Number : 1528427457
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MAUREEN SHANNON RPH
Provider Business Mailing Address
First Line : 71 BOXWOOD ST
Second Line :
City : WILLISTON
State : VT
Zip : 05495-8211
Country : US
Telephone Number : 802-878-9056
Fax Number : 802-878-9818
Provider Business Practice Location Address
First Line : 71 BOXWOOD ST
Second Line :
City : WILLISTON
State : VT
Zip : 05495-8211
Country : US
Telephone Number : 802-878-9056
Fax Number : 802-878-9818
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2016
Last Update Date : 02/20/2016

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Directions to “ MS. MAUREEN SHANNON RPH” Practice Location

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