Brantley, Shannon Lee

Brantley, Shannon Lee is an individual health care provider with primary practice located at 90 Hope Dr Bldg 6000 366 Mdss/Sgsap, Mountain Home Afb ID 83648-1062. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Brantley, Shannon Lee can be contacted via phone (208) 828-7480.

Contact Information

Primary practice address
90 Hope Dr Bldg 6000 366 Mdss/Sgsap Mountain Home Afb ID 83648-1062
Phone: (208) 828-7480
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 13742 Arizona

Profile Details

NPI number 1609973916
LBN Legal business name Brantley, Shannon Lee
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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