Individual
MISS THOMAS HARGROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
813 WEST PARK AVE, GREENWOOD, MS 38930
(662) 455-3532
(662) 455-2142
Mailing address
813 W PARK AVE, GREENWOOD, MS 38930-2824
(662) 455-3532
(662) 455-2142
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E6524
MS
Other
Enumeration date
12/17/2013
Last updated
12/17/2013
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