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Individual

MR. MITCHELL RAY LANGSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
235 GEORGE WALLACE DR, PEARL, MS 39208-3524
(601) 932-1660
(601) 932-1121
Mailing address
24 CABLE CT, BRANDON, MS 39042-1996
(601) 927-1514
(601) 932-1121

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-6463
MS

Other

Enumeration date
09/18/2010
Last updated
09/18/2010
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