Individual
GWENDOLYN COLEMAN GARROR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
132 FAIRMOUNT DRIVE, CLINTON, MS 39056
(601) 988-1710
(601) 988-1711
Mailing address
132 FAIRMOUNT DRIVE, CLINTON, MS 39056-2050
(601) 988-1710
(601) 988-1711
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
051923-1
NY
183500000X
Pharmacist
Primary
E-7907
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134443385
IMMUNIZATIONS
NY
Enumeration date
03/17/2010
Last updated
01/22/2019
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