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Dana Shoemake

Pharmacist in Brookhaven, MS. Individual provider (NPI-1).

NPI number1982207007
StatusActive
Last updated in NPPESNov 19, 2020

Details

NPI
1982207007
Entity type
Individual (NPI-1)
Name
Dana Shoemake
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 19, 2020
Certification date
Nov 19, 2020
Last updated
Nov 19, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X PharmacistE-010198MSYes

Practice location

960 Brookway Blvd
Brookhaven, MS 39601-2644

Phone 601-833-8436

Mailing address

1114 Milltowne Dr
Wesson, MS 39191-4402

Phone 601-757-9337

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