Individual
CARLY BAKER BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
864 WILSON DR STE B, RIDGELAND, MS 39157-4512
(601) 957-9174
(601) 956-7611
Mailing address
225 BUCKHEAD DR, MADISON, MS 39110-6616
(662) 934-7852
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
E-16013
MS
Other
Enumeration date
07/17/2019
Last updated
07/17/2019
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