Most Relevant Information
Provider Data
| NPI Number: | 1003038894 |
| Provider Name: | CLARENCE E. DUBOSE R.PH. |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | E06041 |
Most Important Dates
| Enumeration Date: | 05/03/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
3737 MAIN ST
MOSS POINT
MS
395635107
Practice Location Phone/Fax
| Phone: | 2284741011 |
| Fax: | 2284741033 |
Provider Mailing Location
3737 MAIN ST
MOSS POINT
MS
395635107
Provider Mailing Phone/Fax
| Phone: | 2284741011 |
| Fax: | 2284741033 |