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Mr. Patrick Dewayne Shannon
Pharmacist in Fort Wayne, Indiana
NPI 1396028171

Patrick Dewayne Shannon is a Pharmacist based in Fort Wayne, IN. Patrick Dewayne Shannon practices in Fort Wayne, IN. The NPI Number for Patrick Dewayne Shannon is 1396028171 and holds a License No. 26018335A (Indiana).

The current practice location address for Patrick Dewayne Shannon is 110 E Creighton Ave, Fort Wayne, IN and can be reached out via phone at 260-456-1841.

Location: 110 E Creighton Ave, Fort Wayne, IN, 46804-1543
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396028171
Provider Name
Patrick Dewayne Shannon
Credential
Provider Entity Type
Individual
Gender
Male
Address
110 E Creighton Ave, Fort Wayne, IN, 46804-1543
Phone Number
260-456-1841
Fax Number
Provider Enumeration Date
09/27/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
110 E Creighton Ave
City
Fort Wayne
State
Indiana
Zip
46803-3344
Phone Number
260-456-1841
Fax Number
person
Provider Business Mailing Address Details
Address
110 E Creighton Ave
City
Fort Wayne
State
Indiana
Zip
46803-3344
Phone Number
260-456-1841
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
26018335A (Indiana)
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
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