Rayburn, Shawn Danelle

Rayburn, Shawn Danelle is an individual health care provider with primary practice located at 1310 S Constitution Ave Brookshires Pharmacy 062, Ashdown AR 71822. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Rayburn, Shawn Danelle can be contacted via phone (903) 276-5260.

Contact Information

Primary practice address
1310 S Constitution Ave Brookshires Pharmacy 062 Ashdown AR 71822
Phone: (903) 276-5260
Fax: (870) 898-5594
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X TX31189 Texas
Pharmacy Service Providers / Pharmacist 183500000X PD08930 Arkansas

Profile Details

NPI number 1841671492
LBN Legal business name Rayburn, Shawn Danelle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2015
Last updated Jun 9th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841671492 NPPES
Arkansas Other PD08930 STATE LICENSE
Arkansas Other TX31189 STATE LICENSE

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