Individual
ANIYA MERCADEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
6130 U S HIGHWAY 49, HATTIESBURG, MS 39401-7300
(601) 545-6959
Mailing address
75 AVONDALE CIRCLE, HATTIESBURG, MS 39402
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-15922
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4054694
ID NUMBER
—
Enumeration date
09/03/2020
Last updated
09/03/2020
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