Individual
DR. LORI SHACKLEFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
421 CENTRAL AVE, COLDWATER, MS 38618-3915
(662) 622-7441
(662) 622-7004
Mailing address
PO BOX 309, COLDWATER, MS 38618-0309
(662) 622-7441
(662) 622-7004
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-14967
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E-14967
LICENSE NUMBER
MS
Enumeration date
03/25/2022
Last updated
03/20/2026
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