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Shannon Lee Brantley, PHARMD
Pharmacist in Mountain Home Afb, Idaho
NPI 1609973916

Shannon Lee Brantley is a Pharmacist based in Mountain Home, ID. Shannon Lee Brantley practices in Mountain Home Afb, ID and has the professional credentials of PHARMD. The NPI Number for Shannon Lee Brantley is 1609973916 and holds a License No. 13742 (Idaho).

The current practice location address for Shannon Lee Brantley is 90 Hope Dr Bldg 6000, Mountain Home Afb, ID and can be reached out via phone at 208-828-7480. You can also correspond with Shannon Lee Brantley through the mailing address at 420 E 12TH NORTH, MOUNTAIN HOME, ID - 83647 (mailing address contact number: 208-587-3658).

Location: 90 Hope Dr Bldg 6000, Mountain Home Afb, ID, 83647
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609973916
Provider Name
Shannon Lee Brantley
Credential
PHARMD
Provider Entity Type
Individual
Gender
Female
Address
90 Hope Dr Bldg 6000, Mountain Home Afb, ID, 83647
Phone Number
208-828-7480
Fax Number
Provider Enumeration Date
09/20/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
90 Hope Dr Bldg 6000
City
Mountain Home Afb
State
Idaho
Zip
83648-1062
Phone Number
208-828-7480
Fax Number
person
Provider Business Mailing Address Details
Address
90 Hope Dr Bldg 6000
City
Mountain Home Afb
State
Idaho
Zip
83648-1062
Phone Number
208-828-7480
Fax Number
person
Provider's Taxonomy Details 1
Type
Pharmacy Service Providers
Classification
Pharmacist
Speciality
-
Taxonomy
183500000X
License No.
13742 (Arizona)
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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