Provider Demographics
NPI:1508466178
Name:MITCHELL, DARLING SHAREE
Entity Type:Individual
Prefix:
First Name:DARLING
Middle Name:SHAREE
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:244 FEATHER LN
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MS
Mailing Address - Zip Code:39046-9793
Mailing Address - Country:US
Mailing Address - Phone:601-761-6002
Mailing Address - Fax:601-761-6003
Practice Address - Street 1:244 FEATHER LN
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MS
Practice Address - Zip Code:39046-9793
Practice Address - Country:US
Practice Address - Phone:601-761-6002
Practice Address - Fax:601-761-6002
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-31
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSE010087183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist