Individual
SHANNON G DICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
3082 BIENVILLE BLVD, OCEAN SPRINGS, MS 39564-4354
(228) 872-2646
Mailing address
4010 BREEZY HILL LN, 4010 BREEZY HILL LN, OCEAN SPRINGS, MS 39564-8510
(228) 327-5254
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
13436
AL
183500000X
Pharmacist
Primary
D-7399
MS
Other
Enumeration date
04/21/2011
Last updated
04/21/2011
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