Individual
JAMES LARRY NORDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
719 BROOKWAY BLVD, BROOKHAVEN, MS 39601-2639
(601) 833-8509
(601) 833-9626
Mailing address
339 MCCLUER RD, JACKSON, MS 39212-5412
(601) 955-6636
(601) 833-9626
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-006337
MS
183500000X
Pharmacist
E06337
MS
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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