Most Relevant Information
Provider Data
NPI Number: | 1003199639 |
Provider Name: | MILLIE DYSON PHARM D |
Entity Type: | Individual |
Taxonomy Code: | 183500000X |
Specialty: | Pharmacist |
License Number: | E-09436 |
Most Important Dates
Enumeration Date: | 09/20/2011 |
Last Updated: | 07/23/2024 |
Provider Practice Location
1906 S GLOSTER ST
TUPELO
MS
388016543
Practice Location Phone/Fax
Phone: | 6628711617 |
Fax: |
Provider Mailing Location
110 OAKWOOD CT
TUPELO
MS
388014526
Provider Mailing Phone/Fax
Phone: | 6628711617 |
Fax: |