Individual
DEIDRE REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
6072 U S HIGHWAY 98, HATTIESBURG, MS 39402-8854
(601) 264-3631
(601) 264-0526
Mailing address
6072 U S HIGHWAY 98, HATTIESBURG, MS 39402-8854
(601) 264-3631
(601) 264-0526
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-09848
MS
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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