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NPI Code Detail

MEDICARE: SHAYNA MCCLURE PHARMD

MEDICARE: SHAYNA MCCLURE 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
1183500000XPharmacistRPH035117GA

General Provider Information

NPI Number : 1992524854
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAYNA MCCLURE PHARMD
Provider Business Mailing Address
First Line : 3743 GARDENWICK RD
Second Line :
City : POWDER SPRINGS
State : GA
Zip : 30127-5668
Country : US
Telephone Number : 404-938-3357
Fax Number :
Provider Business Practice Location Address
First Line : 4300 PACES FERRY RD SE STE 170
Second Line :
City : ATLANTA
State : GA
Zip : 30339-5705
Country : US
Telephone Number : 770-433-9437
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/08/2024
Last Update Date : 10/08/2024

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Directions to “ SHAYNA MCCLURE PHARMD” Practice Location

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