Healthcare Provider Details

I. General information

NPI: 1285357657
Provider Name (Legal Business Name): SHELBY DROPE PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2022
Last Update Date: 09/21/2022
Certification Date: 09/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5995 STAGE RD
BARTLETT TN
38134-8311
US

IV. Provider business mailing address

761 HAWTHORNE ST
MEMPHIS TN
38107-4535
US

V. Phone/Fax

Practice location:
  • Phone: 901-385-7097
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number46532
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: