<Unavail>

LBN: Shannon Medical Center
<Unavail> is an health care organization with primary practice located at 2030 Pulliam St Ste 16 , San Angelo TX 76905-5170. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Community/Retail Pharmacy, Suppliers / Specialty Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Shannon Medical Center can be contacted via phone (325) 747-4246, or through Wooldridge, Joseph via phone (325) 747-5303.

Contact Information

Primary practice address
2030 Pulliam St Ste 16 San Angelo TX 76905-5170
Phone: (325) 747-4246
Fax: (325) 285-1383
Website:
Map and Directions
Authorized official contact:
Name: Wooldridge, Joseph
Phone: (325) 747-5303

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1861182339
LBN Legal business name Shannon Medical Center
DBA Doing business as <Unavail>
Authorized official Wooldridge, Joseph
Entity Organization
Organization subpart 1 No
Enumeration date May 9th, 2023
Last updated Mar 14th, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861182339 NPPES
Texas Other 35645 TEXAS STATE BOARD OF PHARMACY

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