SHANNON G WHITAKER

DIBERVILLE, MS
NPI1225324577
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: MS  8370)
Enumeration Date2011-06-24
Last Update Date2011-06-24
Business Address
-- SHANNON G WHITAKER RPh
4031 POPPS FERRY RD #A
DIBERVILLE, MS 39540-2367
Phone number: 228-392-7310
Mailing Address
-- SHANNON G WHITAKER RPh
6721 WASHINGTON AVE APT 7B
OCEAN SPRINGS, MS 39564-2144
Phone number: