Individual
MRS. CORIE LAWRENCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
3000 PLAZA DR, TYLERTOWN, MS 39667-9227
(601) 876-2152
Mailing address
PO BOX 658, TYLERTOWN, MS 39667-0658
(601) 303-7890
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-8773
MS
Other
Enumeration date
08/25/2017
Last updated
08/25/2017
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