Shannon Carlisle, PHARMD

NPI #1235677170 in O Fallon, Missouri

Provider Information

NPI Number: 1235677170
Entity Type: Individual
Name: Shannon Carlisle, PHARMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARMD
Enumeration Date: Feb 10, 2017
Last Updated: Feb 10, 2017

Practice Location

Address: 2605 MCLEAN CT
City: O Fallon
State: Missouri
ZIP Code: 63368-7611
Phone: (217) 433-2044

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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