Stephen C Anderson

NPI 1164437703 - Pharmacy - 3336C0003X

NPI Details
NPI 1164437703
Enumeration Date 07/30/2006
Last Updated 05/16/2016
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name STEPHEN STEPHEN
Position OWNER
Phone (662) 237-9294
Fax (662) 237-9292
Practice Location
112 E MAIN ST
N CARROLLTON MS, 38947-2000, US
Phone (662) 237-9294
Fax (662) 237-9292
Business Location
112 E MAIN ST
N CARROLLTON MS, 38947-2000, US
Phone (662) 237-9294
Fax
Toxanomy
Taxonomy Code 3336C0003X
License State Mississippi
License Number 01580011
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According to our database, Stephen C Anderson NPI is 1164437703, taxonomy code is 3336C0003X and license number is 01580011, license state is located at Mississippi. Stephen C Anderson physically located at 112 E Main St, N Carrollton MS, 38947-2000. NPI Number 1033115704 has the healthcare provider type.

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1164437703 NPI number is provided on an as is basis without warranty of any kind. 1164437703 is maintained by the National Plan & Provider Enumeration System. The contents of Stephen C Anderson are for informational purposes only.