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Shane Mouser, PHARM.D
NPI 1881076321 · on the registry since 2015
Practice
- Address
- 705 S Broadway St
Portland, TN 37148 - Phone
- (615) 323-5050
- Fax
- (615) 323-5052
- Organisation at this address
- Portland Prescription Shop Pllc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- Pharmacist
183500000X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-02-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee