Individual provider · Type 1 NPI

Shannon Lee Brantley, PharmD

Pharmacist · Mountain Home Afb, ID

NPI number 1609973916 Active

Practice location

90 Hope Dr Bldg 6000, 366 Mdss/sgsap
Mountain Home Afb, ID 83648-1062

Call (208) 828-7480 Map

Mailing address

420 E 12th North
Mountain Home, ID 83647

Specialties and licenses

Taxonomy	Code	License
Pharmacist Primary	183500000X	13742 (AZ)

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 1609973916

Shannon Lee Brantley, PharmD's National Provider Identifier is 1609973916, issued on Sep 20, 2006. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Mountain Home Afb, ID. The record was last updated on Jul 8, 2007.