Individual
GARY ANZLEY SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2014 HWY 45N, MERIDIAN, MS 39301
(601) 482-5799
Mailing address
1526 GUN CLUB RD, TUPELO, MS 38801
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E08176
MS
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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