DAKOTA SHOCKLEY

MERIDIANVILLE, AL
NPI1932579083
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: AL  18958)
Additional Taxonomies183500000X Pharmacist
(Licence: TN  39574)
Enumeration Date2015-10-01
Last Update Date2015-10-01
Business Address
-- DAKOTA SHOCKLEY Pharm.D.
12290 HIGHWAY 231 431 N
MERIDIANVILLE, AL 35759-1200
Phone number: 256-828-1000
Mailing Address
-- DAKOTA SHOCKLEY Pharm.D.
500 LIBERTY LN APARTMENT 602
FAYETTEVILLE, TN 37334-3648
Phone number: 931-993-1869