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Individual

MR. VAN PHILIP EAST JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMACIST

Contact information

Practice address
200 HIGHWAY 145 N, ABERDEEN, MS 39730-2366
(662) 369-9311
(662) 369-7865
Mailing address
1819 HIGHWAY 25 N, AMORY, MS 38821-8004
(662) 256-5030
(662) 369-7865

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
6160
AL
183500000X
Pharmacist
Primary
E-03781
MS

Other

Enumeration date
03/28/2011
Last updated
03/28/2011
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