Shanette Pinkston
Pharmacist in Vidalia, LA. Individual provider (NPI-1).
NPI number1164024733
StatusActive
Last updated in NPPESNov 9, 2020
Details
- NPI
- 1164024733
- Entity type
- Individual (NPI-1)
- Name
- Shanette Pinkston
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 9, 2020
- Certification date
- Nov 9, 2020
- Last updated
- Nov 9, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | PST.022884 | LA | Yes |
Other names
- Shanette Harris (Former Name)
Practice location
4283 Carter StVidalia, LA 71373-3148
Phone 318-336-8801
Mailing address
4283 Carter StVidalia, LA 71373-3148
Phone 318-336-8801
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All 10 Pharmacist providers in Vidalia · All 283 providers in Vidalia
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