MR. Timmy Duane Shannon, RPH

NPI #1932472925 in Geneseo, Illinois

Provider Information

NPI Number: 1932472925
Entity Type: Individual
Name: MR. Timmy Duane Shannon, RPH
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Feb 22, 2012
Last Updated: Feb 22, 2012

Practice Location

Address: 201 N STATE ST
City: Geneseo
State: Illinois
ZIP Code: 61254-1236
Phone: (309) 944-2442

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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