Individual
MICHELLE VANHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1300 SUNSET DR STE C, GRENADA, MS 38901-4081
(166) 222-6066
Mailing address
1300 SUNSET DR STE C, GRENADA, MS 38901-4081
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E8120
MS
Other
Enumeration date
10/19/2021
Last updated
10/19/2021
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