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Individual

MR. EDDIE D RUTHERFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
210 HOSPITAL CIR, CHOCTAW, MS 39350-6781
(601) 389-4330
Mailing address
3450 ATTALA ROAD 1137, KOSCIUSKO, MS 39090-6506

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-8651
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03623872
MS
Enumeration date
01/29/2007
Last updated
12/08/2025
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