Individual
ABDEREZAK SHIFA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
830 S GLOSTER ST, TUPELO, MS 38801-4996
(662) 377-3000
Mailing address
4100 N GLOSTER ST APT I204, TUPELO, MS 38804-7220
(615) 602-7799
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-101261
MS
Other
Enumeration date
09/19/2025
Last updated
09/19/2025
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