NPI 1013517101

Dwight Bryan Shoopman

Practitioner Pharmacist Branson, MO

Practice location

Address: 2050 W Highway 76, Branson, MO 65616-2100
Phone: (417) 334-7181
Fax: (417) 336-6778
Mailing address: 406 Zinnia Ln, Kirbyville, MO 65679-7277

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 2005040992 (MO)

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Registry record

NPI: 1013517101
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Oct 2020
Record last updated: 28 Oct 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.