Shannon Lee Brantley, PHARMD
NPI #1609973916 in Mountain Home Afb, Idaho
Provider Information
- NPI Number
- 1609973916
- Entity Type
- Individual
- Name
- Shannon Lee Brantley, PHARMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Credential
- PHARMD
- Enumeration Date
- Sep 20, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 90 HOPE DR BLDG 6000
- Address 2
- 366 MDSS/SGSAP
- State
- Idaho
- ZIP Code
- 83648-1062
- Phone
- (208) 828-7480
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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