Individual
CLARENCE E. DUBOSE SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
3737 MAIN ST, MOSS POINT, MS 39563-5107
(228) 474-1011
(228) 474-1033
Mailing address
3737 MAIN ST, MOSS POINT, MS 39563-5107
(228) 474-1011
(228) 474-1033
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E06041
MS
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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