Individual
MELANIE JO ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2800 LINCOLN RD, HATTIESBURG, MS 39402-3124
(601) 268-2780
Mailing address
1105 STANFORD LAKE RD, POPLARVILLE, MS 39470-9203
(601) 795-0496
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
T08058
MS
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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