Shantel Thomas

NPI #1952687410 in Shawano, Wisconsin

Provider Information

NPI Number: 1952687410
Entity Type: Individual
Name: Shantel Thomas
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Oct 28, 2011
Last Updated: Oct 28, 2011

Practice Location

Address: 401 E GREEN BAY ST
City: Shawano
State: Wisconsin
ZIP Code: 54166-2541
Phone: (715) 524-5600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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