Individual
STAN DEWAYNE ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
12101 HIGHWAY 57, VANCLEAVE, MS 39565-7199
(228) 826-9576
(228) 826-9578
Mailing address
12101 HIGHWAY 57, VANCLEAVE, MS 39565-7199
(228) 826-9576
(228) 826-9578
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E7769
MS
Other
Enumeration date
08/22/2017
Last updated
07/21/2022
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