NPI 1053785857

Brenna L Shannon, PHARMD

Practitioner Pharmacist Glendale, CO

Practice location

Address: 4550 Leetsdale Dr, Glendale, CO 80246-1215
Phone: (303) 399-7595

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 0020955 (CO)

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Registry record

NPI: 1053785857
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Nov 2015
Record last updated: 18 Nov 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.