Shields, Tommy Ray
Shields, Tommy Ray is an sole proprietor health care provider with primary practice located at 680 Highway 51 Ste G , Ridgeland MS 39157-2103. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Shields, Tommy Ray can be contacted via phone (601) 853-4611.Contact Information
Primary practice address
680 Highway 51 Ste G
Ridgeland MS 39157-2103
Phone: (601) 853-4611
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | E07064 | Mississippi |
Profile Details
| NPI number | 1104474956 |
|---|---|
| LBN Legal business name | Shields, Tommy Ray |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 26th, 2019 |
| Last updated | Aug 26th, 2019 - about 7 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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