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Individual

DR. BILLY RAY BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARM.D.

Contact information

Practice address
1500 E. WOODROW WILSON AVENUE, JACKSON, MS 39216-5199
(601) 364-1555
Mailing address
2825 GLEN DERRY STREET, JACKSON, MS 39212
(601) 372-8506
(601) 372-8506

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-09056
MS

Other

Enumeration date
09/22/2006
Last updated
07/08/2007
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