Individual
MR. BEDEAR PAUL PETRO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
210 HOSPITAL CIR, CHOCTAW, MS 39350-6781
(601) 389-4332
(601) 389-4331
Mailing address
2675 ATTALA ROAD 5212, KOSCIUSKO, MS 39090-6439
(662) 582-3155
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-6409
MS
Other
Enumeration date
04/20/2021
Last updated
04/20/2021
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