IndividualActive
Abderezak Shifa
NPI 1669344552 · Pharmacist · Tupelo, MS
Provider details
- NPI number
- 1669344552
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- E-101261 (MS)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
830 S Gloster St
Tupelo, MS 38801-4996
Phone: (662) 377-3000
Approximate (ZIP-level) locationGet directions
Mailing address
4100 N Gloster St Apt I204
Tupelo, MS 38804-7220
Registry dates
- Enumerated
- 2025-09-19
- Last updated
- 2025-09-19
- Certified
- 2025-09-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.