NPI 1225324577

Shannon G Whitaker, RPH

Practitioner Pharmacist Diberville, MS

Practice location

Address: 4031 Popps Ferry Rd #a, Diberville, MS 39540-2367
Phone: (228) 392-7310
Mailing address: 6721 Washington Ave APT 7b, Ocean Springs, MS 39564-2144

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 8370 (MS)

Other Pharmacist providers in Mississippi →

Registry record

NPI: 1225324577
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Jun 2011
Record last updated: 24 Jun 2011

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.