Individual
DR. PHILIP ALBERT MCSHANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
12345 VIDALIA RD, PASS CHRISTIAN, MS 39571-8309
(228) 255-7800
(228) 255-9999
Mailing address
12345 VIDALIA RD, PASS CHRISTIAN, MS 39571-8309
(228) 255-7800
(228) 255-9999
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
T-09484
MS
Other
Enumeration date
01/14/2019
Last updated
01/14/2019
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