Individual
DAKOTA SHOCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
12290 HIGHWAY 231 431 N, MERIDIANVILLE, AL 35759-1200
(256) 828-1000
Mailing address
500 LIBERTY LN, APARTMENT 602, FAYETTEVILLE, TN 37334-3648
(931) 993-1869
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
18958
AL
183500000X
Pharmacist
39574
TN
Other
Enumeration date
10/01/2015
Last updated
10/01/2015
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