Individual
JIMMY O'BRIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
511 W MONROE AVE, OKOLONA, MS 38860-1616
(662) 447-5400
Mailing address
511 WEST MONROE AVE, OKOLONA, MS 39730
(662) 447-5400
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-09324
MS
Other
Enumeration date
08/23/2017
Last updated
08/23/2017
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