Most Relevant Information
Provider Data
| NPI Number: | 1003411349 |
| Provider Name: | SHAWN AMISIAL PHARM.D |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | E14581 |
Most Important Dates
| Enumeration Date: | 12/03/2020 |
| Last Updated: | 12/03/2020 |
Provider Practice Location
12024 LAMEY BRIDGE RD
DIBERVILLE
MS
395408906
Practice Location Phone/Fax
| Phone: | 2283962858 |
| Fax: |
Provider Mailing Location
12024 LAMEY BRIDGE RD
DIBERVILLE
MS
395408906
Provider Mailing Phone/Fax
| Phone: | 2283962858 |
| Fax: |