Individual
SHELLY CURTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2401 GOODMAN RD W, HORN LAKE, MS 38637-1308
(662) 342-6229
Mailing address
4763 ROSEPETAL CV, SOUTHAVEN, MS 38672-9583
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-12619
MS
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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