Individual
JOSHUA FAVRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2405 PASS RD, BILOXI, MS 39531-2111
(228) 388-3458
(228) 388-4091
Mailing address
336 SPRINGDALE CIR, DIBERVILLE, MS 39540-3733
(228) 209-4699
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-15006
MS
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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