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Individual

DENNIS EVERETT MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMACIST

Contact information

Practice address
702 EARL FRYE BLVD, AMORY, MS 38821-9403
(662) 257-1212
(662) 257-1207
Mailing address
60023 HILLCREST DR, AMORY, MS 38821-8985
(662) 256-2680
(662) 257-1207

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E6210
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01109717
MS
Enumeration date
02/23/2007
Last updated
07/08/2007
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