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Individual
BAILEY MELTON
Active
Individual
BAILEY MELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM. D.
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
010796
MS
183500000X
Pharmacist
35515
TN
183500000X
Pharmacist
PD11450
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010796
PHARMACY LICENSE, MISSISSIPPI
MS
Enumeration date
01/04/2011
Last updated
01/04/2011
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