Individual
MR. VICTOR GLENN BAILEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMACIST
Contact information
Practice address
315 W MAIN ST, CHARLESTON, MS 38921-2232
(662) 647-5541
Mailing address
2331 OAK CREEK DR, HERNANDO, MS 38632-6667
(662) 449-4368
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E08802
MS
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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