Individual
CASEY PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
6130 US 49, HATTIESBURG, MS 39401
(601) 545-6959
Mailing address
6130 U S HIGHWAY 49, HATTIESBURG, MS 39401-7300
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-14863
MS
183500000X
Pharmacist
E14863
MS
Other
Enumeration date
08/08/2017
Last updated
08/08/2017
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