Shannon G Whitaker, RPH

NPI #1225324577 in Diberville, Mississippi

Provider Information

NPI Number: 1225324577
Entity Type: Individual
Name: Shannon G Whitaker, RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Jun 24, 2011
Last Updated: Jun 24, 2011

Practice Location

Address: 4031 POPPS FERRY RD
Address 2: #A
City: Diberville
State: Mississippi
ZIP Code: 39540-2367
Phone: (228) 392-7310

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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