Provider Demographics
NPI:1992990287
Name:BAGNET-FINLEY, SHANNON DENISE (PHARMD, CDE)
Entity type:Individual
Prefix:DR
First Name:SHANNON
Middle Name:DENISE
Last Name:BAGNET-FINLEY
Suffix:
Gender:F
Credentials:PHARMD, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19100 DR JOHN LAMBERT DR
Mailing Address - Street 2:
Mailing Address - City:HAMMOND
Mailing Address - State:LA
Mailing Address - Zip Code:70403-0922
Mailing Address - Country:US
Mailing Address - Phone:985-687-1557
Mailing Address - Fax:
Practice Address - Street 1:19100 DR JOHN LAMBERT DR
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70403-0922
Practice Address - Country:US
Practice Address - Phone:985-687-1557
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-10
Last Update Date:2016-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA179411835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy