-- SHANNON LEE BRANTLEY -- PharmD
Individual Provider (NPI-1)
Active
Pharmacist
Provider Information
- NPI Number
1609973916- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PharmD
- Status
- Active
Contact & Location
- Address
- 90 HOPE DR BLDG 6000 366 MDSS/SGSAP, MOUNTAIN HOME AFB, ID, 836481062
- Phone
- (208) 828-7480
Specialties & Taxonomies
Pharmacist
Primary License: AZ #13742