Individual
REBECCA BRANTON BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4500 13TH ST, GULFPORT, MS 39501-2515
(228) 865-3525
(228) 865-3618
Mailing address
PO BOX 1810, MHG EMPLOYEE PHARMACY, GULFPORT, MS 39502-1810
(228) 865-3525
(228) 865-3618
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E6901
MS
Other
Enumeration date
04/12/2013
Last updated
04/12/2013
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