Individual provider · Type 1 NPI

Charles A. Shannon, RPH

Pharmacist · Roswell, NM

NPI number 1093701435 Active

Practice location

711 N Union Ave
Roswell, NM 88201-3955

Fax (505) 623-3801

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X3851 (NM)

Pharmacist: 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…

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About NPI 1093701435

Charles A. Shannon, RPH's National Provider Identifier is 1093701435, issued on Sep 21, 2005. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Roswell, NM. The record was last updated on Jul 13, 2026.