Individual
DANA SHOEMAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
960 BROOKWAY BLVD, BROOKHAVEN, MS 39601-2644
(601) 833-8436
Mailing address
1114 MILLTOWNE DR, WESSON, MS 39191-4402
(601) 757-9337
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-010198
MS
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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