Individual provider · Type 1 NPI

Patricia Dianne Shackelford

Pharmacist · Tyler, TX

NPI number 1003463712 Active

Practice location

11937 US Highway 271
Tyler, TX 75708-3154

Call (903) 877-7088 Map

Fax (903) 877-7006

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X26982 (TX)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1003463712

Patricia Dianne Shackelford's National Provider Identifier is 1003463712, issued on Aug 19, 2019. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Tyler, TX. The record was last updated on Aug 19, 2019.