Individual
CHRISTOPHER JARVENE SHACKELFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
7122 WILL ROBBINS HWY, NETTLETON, MS 38858-5918
(662) 591-5234
Mailing address
PO BOX 439, RIPLEY, MS 38663-0439
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-08819
MS
Other
Enumeration date
05/11/2022
Last updated
05/11/2022
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