NPI 1003411349

Shawn Amisial, PHARMD

Practitioner Pharmacist Diberville, MS

Practice location

Address: 12024 Lamey Bridge Rd, Diberville, MS 39540-8906
Phone: (228) 396-2858

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence E14581 (MS)

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Registry record

NPI: 1003411349
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Dec 2020
Record last updated: 3 Dec 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.