Individual
DR. STACI L. SHIPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
13210 N WINTZELL AVE, BAYOU LA BATRE, AL 36509-2142
(251) 824-1702
(251) 824-1705
Mailing address
13210 N WINTZELL AVE, BAYOU LA BATRE, AL 36509-2142
(251) 824-1702
(251) 824-1705
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16385
AL
183500000X
Pharmacist
E09599
MS
Other
Enumeration date
09/22/2010
Last updated
09/22/2010
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