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Ann G Shashack, rph

Pharmacist in Granite City, IL. Individual provider (NPI-1).

NPI number1447547559
StatusActive
Last updated in NPPESJul 9, 2011

Details

NPI
1447547559
Entity type
Individual (NPI-1)
Name
Ann G Shashack
Credential
rph
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 9, 2011
Last updated
Jul 9, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist051.292213ILYes

Practice location

3732 Nameoki Rd
Granite City, IL 62040-3714

Phone 618-877-6880 · Fax 618-877-2012

Mailing address

3732 Nameoki Rd
Granite City, IL 62040-3714

Phone 618-877-6880 · Fax 618-877-2012

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