Organization · Type 2 NPI

Shannon Medical Center

Pharmacy · San Angelo, TX

NPI number 1285845214 Active

Practice location

120 E Harris Ave Ste 410
San Angelo, TX 76903-5904

Call (325) 747-5389 Map

Fax (325) 481-8708

Mailing address

2030 Pulliam St Ste 16
San Angelo, TX 76905-5170

Specialties and licenses

Taxonomy	Code	License
Pharmacy Primary	333600000X	None listed

Pharmacy: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is lo…

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NPI record

NPI: 1285845214
Entity type: Organization (Type 2)
Issued: May 24, 2007
Last updated: Mar 20, 2023
Status: Active
Subpart: Yes of Shannon Medical Center

Other names

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Shannon Medical Center · other name
Shannon Medical Center · other name

Authorized official

Carlos Robledo, PharmD
Director-Outpatient Pharmacy Servic
(325) 374-4446

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1285845214

Shannon Medical Center's National Provider Identifier is 1285845214, issued on May 24, 2007. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in San Angelo, TX. The record was last updated on Mar 20, 2023.