MR. Michael Shannon Shea, RPH

NPI #1023100419 in Wayland, Michigan

Provider Information

NPI Number: 1023100419
Entity Type: Individual
Name: MR. Michael Shannon Shea, RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Sep 29, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 300 RENO DR
Address 2: WAYLAND VILLAGE PHARMACY
City: Wayland
State: Michigan
ZIP Code: 49348
Phone: (269) 792-6223

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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