Individual
MR. TED J WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R. PH.
Contact information
Practice address
15371 DEDEAUX RD, GULFPORT, MS 39503-3123
(228) 539-9890
Mailing address
15371 DEDEAUX RD, GULFPORT, MS 39503-3123
(228) 539-9890
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E6090
MS
Other
Enumeration date
09/28/2011
Last updated
09/28/2011
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