IndividualActive
Shannon Bates, PHARMD
NPI 1922722503 · Pharmacotherapy Pharmacist · Tupelo, MS
Provider details
- NPI number
- 1922722503
- Entity type
- Individual
- Primary specialty
- Pharmacotherapy PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Female
- Sole proprietor
- No
- License
- E-16137 (MS)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
702 W Main St
Tupelo, MS 38804-3734
Phone: (662) 840-4818
Approximate (ZIP-level) locationGet directions
Mailing address
148 County Road 226
Corinth, MS 38834-7668
Registry dates
- Enumerated
- 2022-09-28
- Last updated
- 2022-09-28
- Certified
- 2022-09-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.