Individual
MYRA MARIE CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
3615 SANGANI BLVD, DIBERVILLE, MS 39540-8770
(228) 396-4778
(228) 396-0129
Mailing address
35237 CAMP SALMEN RD, SLIDELL, LA 70460-4107
(985) 288-9513
(228) 467-7964
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-07948
MS
Other
Enumeration date
02/27/2010
Last updated
06/09/2024
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