Hemophilia Specialty Group, Llc

NPI 1043510381 - Pharmacy - 3336S0011X

NPI Details
NPI 1043510381
Enumeration Date 11/02/2010
Last Updated 11/02/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name RONNIE RONNIE
Position PRESIDENT
Phone (662) 809-2727
Fax
Practice Location
1500 GATEWAY ST
SUITE B
GRENADA MS, 38901-2846, US
Phone (662) 809-2727
Fax
Business Location
1500 GATEWAY ST
SUITE B
GRENADA MS, 38901-2846, US
Phone (662) 809-2727
Fax
Toxanomy
Taxonomy Code 3336S0011X
License State Mississippi
License Number 08701/2.0
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According to our database, Hemophilia Specialty Group, Llc NPI is 1043510381, taxonomy code is 3336S0011X and license number is 08701/2.0, license state is located at Mississippi. Hemophilia Specialty Group, Llc physically located at 1500 Gateway St, Grenada MS, 38901-2846. NPI Number 1033115704 has the healthcare provider type.

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1043510381 NPI number is provided on an as is basis without warranty of any kind. 1043510381 is maintained by the National Plan & Provider Enumeration System. The contents of Hemophilia Specialty Group, Llc are for informational purposes only.