Individual
MR. JOHN ANDY NULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 ALCORN DR, CORINTH, MS 38834-9359
(662) 286-6991
(662) 287-8087
Mailing address
111 ALCORN DR, CORINTH, MS 38834-9359
(662) 415-7223
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-8235
MS
Other
Enumeration date
09/25/2018
Last updated
09/25/2018
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