Ted J Ward R. PH.

NPI 1265715056 - Pharmacist - 183500000X

NPI Details
NPI 1265715056
Gender Male
Enumeration Date 09/28/2011
Last Updated 09/28/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
15371 DEDEAUX RD
GULFPORT MS, 39503-3123, US
Phone (228) 539-9890
Fax
Business Location
15371 DEDEAUX RD
GULFPORT MS, 39503-3123, US
Phone (228) 539-9890
Fax
Toxanomy
Taxonomy Code 183500000X
License State Mississippi
License Number E6090
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According to our database, Mr. Ted J Ward R. PH. NPI is 1265715056, taxonomy code is 183500000X and license number is E6090, license state is located at Mississippi. Ted J Ward R. PH. physically located at 15371 Dedeaux Rd, Gulfport MS, 39503-3123. NPI Number Ted J Ward R. PH. has the Individual type.

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1265715056 NPI number is provided on an as is basis without warranty of any kind. 1265715056 is maintained by the National Plan & Provider Enumeration System. The contents of Ted J Ward R. PH. are for informational purposes only.