Bates, Shannon

Bates, Shannon is an individual health care provider with primary practice located at 702 W Main St , Tupelo MS 38804-3734. She recently has only one registered license in Pharmacy Service Providers / Pharmacotherapy, which is considered as her primary health care specialty. Bates, Shannon can be contacted via phone (662) 840-4818.

Contact Information

Primary practice address
702 W Main St Tupelo MS 38804-3734
Phone: (662) 840-4818
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacotherapy 1835P1200X E-16137 Mississippi

Profile Details

NPI number 1922722503
LBN Legal business name Bates, Shannon
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2022
Last updated Sep 28th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922722503 NPPES
Mississippi Other E-16137 MISSISSIPPI BOARD OF PHARMACY

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