Individual
PATRICIA ILENE FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1608 VETERANS BLVD, MCCOMB, MS 39648-2064
(601) 684-1445
(601) 684-3616
Mailing address
1608 VETERANS BLVD, MCCOMB, MS 39648-2064
(601) 684-1445
(601) 684-3616
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
E-7055
MS
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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