Most Relevant Information
Provider Data
| NPI Number: | 1003693458 |
| Provider Name: | SUMMER SHIPLEY PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | PST.024881 |
Most Important Dates
| Enumeration Date: | 09/11/2023 |
| Last Updated: | 09/17/2024 |
Provider Practice Location
314 N FRANKLIN ST
BASTROP
LA
712203846
Practice Location Phone/Fax
| Phone: | 3182838887 |
| Fax: |
Provider Mailing Location
314 N FRANKLIN ST
BASTROP
LA
712203846
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |