Individual
DENNIS RAY REVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
229 N UNION ST, CANTON, MS 39046-3728
(601) 859-4681
Mailing address
218 SUNSET CIR, MADISON, MS 39110-7003
(601) 856-4504
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
07131
MS
Other
Enumeration date
08/24/2017
Last updated
08/24/2017
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