Individual
ROBERT1 K BRANCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1420 CANTON MART RD, JACKSON, MS 39211-5434
(601) 956-5143
Mailing address
1420 CANTON MART RD, JACKSON, MS 39211-5434
(601) 956-5143
(601) 956-7538
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
T12046
MS
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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